MEDICARE: JONATHAN CAESAR ECHEVERRIA DC

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	33639	CA

General Provider Information

NPI Number	:	1508652074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN CAESAR ECHEVERRIA DC

Provider Business Mailing Address
First Line	:	11117 CHAPPELLET CT
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-6730
Country	:	US
Telephone Number	:	517-588-8774
Fax Number	:

Provider Business Practice Location Address
First Line	:	5549 CALLOWAY DR STE 100
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-9733
Country	:	US
Telephone Number	:	517-588-8774
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2025
Last Update Date	:	04/19/2025

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