CHIROPRACTIC CARE OF VICTOR VALLEY (NPI# 1346454071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346454071 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC CARE OF VICTOR VALLEY |
| Practice Address |
18484 Us Highway 18 280b Apple Valley CA 92307-2375 |
| Mailing Address |
95 Argonaut 280 Aliso Viejo CA 92656-4133 |
| Practice Telephone | 7609464619 |
| Practice Fax Number | 7609462360 |
| Mailing Telephone | 9495989999 |
| Mailing Fax Number | 9495989990 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRUCE G BROUGHTON (OWNER DR OF CHIROPRACTIC) |
| Authorized Official Telephone | 7609464619 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC14559 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | DC0145590 | 01 |
| Street Address |
18484 US HIGHWAY 18 280B |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307-2375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104914217 | William Rivera-ortiz | Specialist | 18484 Us Highway 18, Suite 225, Apple Valley, CA 92307-2375 | 2006-10-11 |
| 1548574965 | Stacy S. Forcino | Psychologist | 18484 Us Highway 18, Ste 210, Apple Valley, CA 92307-2375 | 2010-07-27 |
| 1518145846 | William Rivera, M.d., Inc. | Specialist | 18484 Us Highway 18, 225, Apple Valley, CA 92307-2375 | 2008-02-08 |
| 1518156371 | Sylvia A Rivera | Nurse Practitioner | 18484 Us Highway 18, Suite 225, Apple Valley, CA 92307-2375 | 2007-10-17 |
| 1326102666 | Bruce G Broughton | Chiropractor | 18484 Us Highway 18, Ste 280b, Apple Valley, CA 92307-2375 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544034 | Parker Dahlgren | Chiropractor | 145 Beaumont Ct, Apple Valley, MN 55124-5008 | 2019-02-12 |
| 1609365865 | Ellen Weis Chiropractic LLC | Chiropractor | 15368 Frost Path, Apple Valley, MN 55124-6067 | 2018-05-03 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1487052361 | Cmh Chiropractic, Pllc | Chiropractor | 13735 Pennock Ave, Apple Valley, MN 55124-6103 | 2014-12-09 |
| 1164769386 | Eric James Ortman | Chiropractor | 6614 133rd St W, Apple Valley, MN 55124-7912 | 2013-01-08 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| 1871891523 | Cornerstone Health and Wellness Center Pllc | Chiropractor | 7300 147th St. W, Suite 304, Apple Valley, MN 55124-7538 | 2011-03-04 |
| 1881910180 | Lance D Stromberg | Chiropractor | 7000 151st St W, Apple Valley, MN 55124-5985 | 2010-04-12 |
| 1093943912 | Chiropractic Wellness Center Inc. | Chiropractor | 7373 147th St W Ste 150, Apple Valley, MN 55124-7532 | 2009-06-30 |
| 1962640698 | Justin D. Backlund | Chiropractor | 14732 Durham Ct, Apple Valley, MN 55124-7760 | 2009-02-03 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92307 |
Please comment or provide details below to improve the information on CHIROPRACTIC CARE OF VICTOR VALLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.