MEDICARE: DARNALL AND ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC15173	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC0151730	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1437362274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARNALL AND ASSOCIATES

Provider Business Mailing Address
First Line	:	95 ARGONAUT
Second Line	:	280
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-4133
Country	:	US
Telephone Number	:	949-598-9999
Fax Number	:	949-598-9990

Provider Business Practice Location Address
First Line	:	2308 N CALIFORNIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95204-5506
Country	:	US
Telephone Number	:	209-462-2759
Fax Number	:	209-462-3005

Authorized Official
Title or Position	:	OWNER DR OF CHIROPRACTIC
Name	:	JAMES E DARNALL
Credential	:	D.C.
Telephone Number	:	209-462-2759

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	08/22/2020

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