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DR. MALLORY NOONAN DC
NPI 1417715160
Chiropractor in Arroyo Grande, CA

Active since March 07, 2024Accepts Medicare Assignment
260 STATION WAY, ARROYO GRANDE, CA 93420(805) 473-6201(805) 473-6291 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mallory Noonan Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALLORY NOONAN DC (NPI 1417715160) is an individual chiropractor in Arroyo Grande, California, licensed in California (35211) and active in the NPI registry since March 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1417715160
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MALLORY NOONANCredential: DC
Location Address260 STATION WAYArroyo Grande, CA 93420-3359
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-3080
Phone(805) 473-6201
Fax(805) 473-6291
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 7, 2024
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1417715160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 35211
Definition
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.
260 STATION WAY, Arroyo Grande, CA 93420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mallory Noonan Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597294116
PECOS Enrollment IDI20250128002490

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID M. MARQUIS D.C.
Chiropractor
260 STATION WAY, SUITE A
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 581-3442
MAURINA LINDA KUSELL DDS
Dentist (General Practice)
260 STATION WAY, SUITE E
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 489-6650
NAZIFA PAILLET FNP-C
Nurse Practitioner (Family)
260 STATION WAY, 210
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-6201
NANCY O'MALLEY M.D.
Internal Medicine
260 STATION WAY
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-6201
MS. JENNY FROST L.AC.
Acupuncturist
260 STATION WAY
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 481-3442
AIDA AMANDA MORENO RDN
Dietitian, Registered
260 STATION WAY
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-6201
TAYLOR FINK RD
Dietitian, Registered
260 STATION WAY
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-6201
DR. JEFFREY S. THOMPSON M.D.
Pediatrics
260 STATION WAY, SUITE D
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 473-2828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Noonan's NPI number?

The NPI number for Mallory Noonan is 1417715160. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Mallory Noonan located?

Mallory Noonan practices at 260 Station Way, Arroyo Grande, CA 93420. The listed phone number is (805) 473-6201.

What is Mallory Noonan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mallory Noonan enrolled in Medicare?

Yes. Mallory Noonan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mallory Noonan was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.