DR. JACK NEELAN BURNS JR. (NPI# 1710272869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710272869 |
| Entity Type | Individual |
| Full Name | DR. JACK NEELAN BURNS JR. |
| Credential | D.C. |
| Practice Address |
1411 W 7th St Suite A San Pedro CA 90732-3522 |
| Practice Telephone | 3108315550 |
| Practice Fax Number | 3106693094 |
| Mailing Telephone | 3108315550 |
| Mailing Fax Number | 3106693094 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 24301 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499253 | Jack Newton Burns | Family Medicine | 901 Medical Center Pkwy, Selma, AL 36701-6746 | 2005-06-30 |
| 1922413889 | Jack Charles Burns II | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2014-06-30 |
| Street Address |
1411 W 7TH ST SUITE A |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649486572 | Jerrine Susan Summer | Dentist | 1411 W 7th St, Suite C, San Pedro, CA 90732-3522 | 2007-05-15 |
| 1821033689 | Diane Catherine Sizgorich | Dentist | 1411 W 7th St, Suite C, San Pedro, CA 90732-3522 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| 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 |
| 1063854164 | Rustin Wilson Chiropractic Corporation | Chiropractor | 525 W 7th St, San Pedro, CA 90731-3115 | 2013-07-18 |
| 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 |
| 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.