Provider Demographics
NPI:1083816029
Name:AMATO QUIROPRACTICO
Entity Type:Organization
Organization Name:AMATO QUIROPRACTICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:209-726-9762
Mailing Address - Street 1:1240 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4536
Mailing Address - Country:US
Mailing Address - Phone:209-726-9762
Mailing Address - Fax:209-726-9723
Practice Address - Street 1:1240 W 16TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4536
Practice Address - Country:US
Practice Address - Phone:209-726-9762
Practice Address - Fax:209-726-9723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT04946Medicare UPIN
CAZZZ31081ZMedicare ID - Type UnspecifiedOTHER