Individual provider Active NPI

Desiree Deanne Edlund, D.C.

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1013929199
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26277 Issued in CA
Practice address
4425 Jamboree Rd Ste 118
Newport Beach, CA 92660-3025
Phone
(949) 391-7270
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X DC26277 CA
Chiropractor 111N00000X DC26277 CA Primary

Addresses

Primary practice location

4425 Jamboree Rd Ste 118
Newport Beach, CA 92660-3025

Mailing address

4425 Jamboree Rd Ste 118
Newport Beach, CA 92660-3025
Phone (949) 391-7270

Other practice location 1

43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone (949) 391-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26277CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edward a. Balbas, P.C. Physical Therapy PastSince Jun 4, 2011 Accepting new patients

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1013929199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 118",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603025",
            "telephone_number": "949-391-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 118",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603025",
            "telephone_number": "949-391-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Corporate Park Ste 204",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926065137",
            "country_code": "US",
            "telephone_number": "949-391-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDLUND",
        "first_name": "DESIREE",
        "middle_name": "DEANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "DC26277",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.