DR. JEFF MALLORY (NPI# 1366799918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366799918 |
Entity Type | Individual |
Full Name | DR. JEFF MALLORY |
Credential | D.C. |
Practice Address |
32891 Sentinel Dr Trabuco Canyon CA 92679-4317 |
Practice Telephone | 9493109440 |
Mailing Telephone | 9493109440 |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC20888 | CA | Chiropractic Providers |
Street Address |
32891 SENTINEL DR |
City | TRABUCO CANYON |
State | CA |
Zip Code | 92679-4317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839834 | Natalia Locati | Technician, Other | 20338 Flanagan Rd, Rancho Santa Margarita, CA 92679 | 2019-12-23 |
1720620289 | Shaley Gupta | Pharmacist | 21 Centaurus Way, Coto De Caza, CA 92679 | 2019-10-16 |
1598135147 | Jenna Lynn Zottarelli | Counselor | 20342 Flanagan Road, Trabuco Canyon, CA 92679 | 2015-09-25 |
1033596226 | Kristina Murphy | Counselor | 100 Via Candelaria, Coto De Caza, CALIFORNIA 92679 | 2015-04-27 |
1467790576 | Lucito Gamboa Gamboa | Family Medicine | 18 Golfview Drive, Dove Canyon, CA 92679 | 2013-01-24 |
1235407131 | Karen Ebersole Rippy | Marriage & Family Therapist | 20331 Flanagan Rd., Trabuco Canyon, CA 92679 | 2011-12-06 |
1255655916 | Lyndsay Allison Bulger | Registered Nurse | 15 Glen Echo, Dove Canyon, CA 92679 | 2010-03-23 |
1235393133 | Kalapp Chiropractic | Chiropractor | 20061 Trabuco Oaks, Trabuco Canyon, CA 92679 | 2008-07-10 |
1760650071 | Reha C Shrikhande | Physical Therapist | 8 Yellowpine Lane, Trabuco Cyn, CA 92679 | 2008-02-20 |
1013012343 | Robert J Foster | Physical Therapist | 28351 Quiet Hill Lane, Trabuco Canyon, CA 92679 | 2006-09-13 |
Find all providers in zip 92679 |
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 |
---|---|---|---|---|
1487886792 | Michael Justin James | Chiropractor | 30555 Trabuco Canyon Road, Suite 202, Trabuco Canyon, CA 92679-3003 | 2009-08-20 |
1770730772 | Peyman Mohammad Pourarbab | Chiropractor | 25 Wakonda, Trabuco Canyon, CA 92679-3710 | 2008-08-20 |
1134249980 | Robert William Canova | Chiropractor | 31941 Dove Canyon Dr, Trabuco Canyon, CA 92679-3718 | 2007-03-29 |
1710536735 | William Park Goodman | Chiropractor | 31941 Dove Canyon Dr, Trabuco Canyon, CA 92679-3718 | 2019-09-11 |
1538520739 | Sharon Ann Tseng | Chiropractor | 31941 Dove Canyon Dr, Trabuco Canyon, CA 92679-3718 | 2016-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073615 | Tsu Yao Lam | Chiropractor | 9337 Steele St, Rosemead, CA 91770-1915 | 2020-11-05 |
1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
1679173157 | Mvmt Matters, A Daniel J Saenz Chiropractic Corporation | Chiropractor | 7700 Folsom Auburn Rd Ste 135, Folsom, CA 95630-6637 | 2020-10-26 |
1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
1205435179 | Linet Sarkisyan | Chiropractor | 530 E Santa Anita Ave Apt 102, Burbank, CA 91501-2912 | 2020-10-22 |
1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
1558969238 | Fernando A Titus | Chiropractor | 233 6th St, Manhattan Beach, CA 90266-5735 | 2020-10-14 |
Find all providers with the same taxonomy |
City | TRABUCO CANYON |
Zip Code | 92679 |
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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.