Provider Demographics
NPI:1295006831
Name:CAPONIO, JOHN SAMUEL (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SAMUEL
Last Name:CAPONIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GREGORY LN STE 108
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2851
Mailing Address - Country:US
Mailing Address - Phone:925-818-6894
Mailing Address - Fax:844-726-0537
Practice Address - Street 1:401 GREGORY LN STE 108
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2851
Practice Address - Country:US
Practice Address - Phone:925-818-6894
Practice Address - Fax:844-726-0537
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31548111N00000X
CADC31548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor