Individual provider Active NPI

Peter Halim Farag Shahat Sr., DC

  • Chiropractor
  • Laguna Niguel, CA
National Provider Identifier
1003778432
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37500 Issued in CA
Practice address
30100 Town Center Dr # Yz
Laguna Niguel, CA 92677-2064
Phone
(949) 276-5401
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC37500 CA Primary

Addresses

Primary practice location

30100 Town Center Dr # Yz
Laguna Niguel, CA 92677-2064

Mailing address

25 Palatine Apt 217
Irvine, CA 92612-7613
Phone (657) 799-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306001299 CA Practitioner - Chiropractic 0547742678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30100 Town Ctr Dr
Suite Yz
Laguna Niguel, CA 92677

4452 Congressional Dr
Jacksonville, FL 32246-7454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC37500CAMDChiropractor
37500CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rausch Physical Therapy, Inc. Chiropractor CurrentSince Feb 17, 2026 Accepting new patients

Locations

30100 Town Center Dr
Ste Yz
Laguna Niguel, CA 92677
Phone (949) 276-5401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1003778432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PALATINE APT 217",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127613",
            "telephone_number": "657-799-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TOWN CENTER DR # YZ",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772064",
            "telephone_number": "949-276-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHAT",
        "first_name": "PETER",
        "middle_name": "HALIM FARAG",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.