Active NPI
Neville Lambourne, D.C
- Chiropractor
- Riverside, CA
National Provider Identifier
1982146502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36022
- Practice address
- 9380 Magnolia Ave
Riverside, CA 92503-3749 - Phone
- (951) 373-5620
- Fax
- (951) 373-5600
- NPI assigned
- Nov 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6261 | MN | |
| Chiropractor | 111N00000X | DC36022 | CA | Primary |
Addresses
Primary practice location
9380 Magnolia Ave
Riverside, CA 92503-3749
Mailing address
9380 Magnolia Ave
Riverside, CA 92503-3749
Phone (951) 373-5620
Other practice location 1
2209 River Hills Dr
Burnsville, MN 55337-1170
Phone (651) 330-8699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241024003562 | CA | Practitioner - Chiropractic | 8022380831 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36022 | CA | MD | Psychologist |
| DC36022 | CA | MD | Chiropractor |
| 6261 | MN | MD | Chiropractor |
| 1054 | ND | MD | Occupational Therapist |
Interoperability endpoints
- neville.lambourne.p1@direct.chsica.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bloomington, CA
- NPI 1952308009
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1982146502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9380 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033749",
"telephone_number": "951-373-5620",
"fax_number": "951-373-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9380 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033749",
"telephone_number": "951-373-5620",
"fax_number": "951-373-5600"
}
],
"practiceLocations": [
{
"address_1": "2209 River Hills Dr",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553371170",
"country_code": "US",
"telephone_number": "651-330-8699",
"fax_number": "651-340-0364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMBOURNE",
"first_name": "NEVILLE",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-14",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6261",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.