RUSTIN WILSON CHIROPRACTIC CORPORATION (NPI# 1063854164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063854164 |
| Entity Type | Organization |
| Organization Name | RUSTIN WILSON CHIROPRACTIC CORPORATION |
| Practice Address |
525 W 7th St San Pedro CA 90731-3115 |
| Mailing Address |
2537 Pacific Coast Hwy Ste B Torrance CA 90505-7064 |
| Practice Telephone | 3108310003 |
| Mailing Telephone | 3108310003 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | RUSTIN WILSON (PRESIDENT) |
| Authorized Official Telephone | 3108310003 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC32429 | CA | Chiropractic Providers |
| Street Address |
525 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| 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 |
|---|---|---|---|---|
| 1639646078 | Elyasi Chiropractic, Apc | Chiropractor | 505 S Pacific Ave Ste 103, San Pedro, CA 90731-2656 | 2018-10-24 |
| 1629555958 | Guru Chiropractic Wellness Inc. | Chiropractor | 522 W 9th St, San Pedro, CA 90731-3106 | 2018-07-19 |
| 1902290273 | Joseph Bahan | Chiropractor | 800 S Pacific Ave, San Pedro, CA 90731-3265 | 2015-03-25 |
| 1578811535 | Kombiz Pouteymoor | Chiropractor | 789 W 9th St, San Pedro, CA 90731-3601 | 2012-08-24 |
| 1508176603 | Virginia Guterac Mendoza | Chiropractor | 601 W 8th St, San Pedro, CA 90731-3121 | 2010-10-07 |
| 1952620049 | Port Medical San Pedro | Chiropractor | 407 N Harbor Blvd, San Pedro, CA 90731-2243 | 2010-05-27 |
| 1104141084 | Roger Christopher Mcgath | Chiropractor | 732 W 9th St Ste 205, San Pedro, CA 90731-3629 | 2010-04-02 |
| 1801029988 | Rockford Bennett | Chiropractor | 165 W 6th St, San Pedro, CA 90731-3313 | 2009-08-24 |
| 1114153558 | Ted Nabewari | Chiropractor | 643 S Butte St, San Pedro, CA 90732-3510 | 2009-05-29 |
| 1932342284 | Joseph Dunlap | Chiropractor | 719 S Averill Ave, San Pedro, CA 90732-3813 | 2009-04-16 |
| Find all providers in SAN PEDRO | ||||
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| 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.