Active NPI
James Whitlock, D.C.
- Chiropractor
- Yucca Valley, CA
National Provider Identifier
1992852586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 26514
- Practice address
- 55887 Yucca TRL
Yucca Valley, CA 92284-2546 - Phone
- (760) 365-0804
- Fax
- (760) 365-0706
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 26514 | CA | Primary |
Addresses
Primary practice location
55887 Yucca TRL
Yucca Valley, CA 92284-2546
Mailing address
55887 Yucca TRL
Yucca Valley, CA 92284-2546
Phone (760) 365-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0265140 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26514 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1992852586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55887 YUCCA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842546",
"telephone_number": "760-365-0804",
"fax_number": "760-365-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55887 YUCCA TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842546",
"telephone_number": "760-365-0804",
"fax_number": "760-365-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOCK",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "26514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0265140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.