Individual provider Active NPI

Matthew C Jordin, DC

  • Chiropractor
  • La Habra, CA
National Provider Identifier
1013949320
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-27613 Issued in CA
Practice address
721 W Whittier Blvd
Suite C
La Habra, CA 90631-3759
Phone
(562) 905-3434
Fax
(562) 905-2626
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-27613 CA Primary

Addresses

Primary practice location

721 W Whittier Blvd
Suite C
La Habra, CA 90631-3759

Mailing address

721 W Whittier Blvd
Suite C
La Habra, CA 90631-3759
Phone (562) 905-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000999 CA Practitioner - ChiropracticPractitioner - Family Practice 9436191400

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice
Education
Los Angeles College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

721 W Whittier Blvd C
La Habra, CA 90631-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-27613CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Brown Chiropractic Inc. Chiropractor PastSince Aug 30, 2020 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1013949320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "SUITE C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-905-3434",
            "fax_number": "562-905-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W WHITTIER BLVD",
            "address_2": "SUITE C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313759",
            "telephone_number": "562-905-3434",
            "fax_number": "562-905-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDIN",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-27613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.