Individual provider Active NPI

Jorge Relucio Balares III, D.C.

  • Independent Medical Examiner Chiropractor
  • San Dimas, CA
National Provider Identifier
1992929699
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
DC-29869 Issued in CA
Practice address
1142 Via Verde
San Dimas, CA 91773-4401
Phone
(626) 433-3517
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29869 CA
Independent Medical Examiner Chiropractor 111NI0013X DC-29869 CA Primary
Pastoral Counselor 101YP1600X CA
Acupuncturist 171100000X LAC-012294 AZ

Addresses

Primary practice location

1142 Via Verde
San Dimas, CA 91773-4401

Mailing address

1653 Enfield St
Spring Valley, CA 91977-3726
Phone (626) 433-3517

Other practice location 1

1265 Nolan Ave
Chula Vista, CA 91911-3744
Phone (619) 455-0245

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

LicenseStateTypeSpecialty
DC 29869CAMDChiropractor
DC-29869CAMDIndependent Medical Examiner Chiropractor
LAC-012294AZMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1992929699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 ENFIELD ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773726",
            "telephone_number": "626-433-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "626-433-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Nolan Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919113744",
            "country_code": "US",
            "telephone_number": "619-455-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALARES",
        "first_name": "JORGE",
        "middle_name": "RELUCIO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29869",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC-29869",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-012294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.