Active NPI
Steve J Costales Chiropractic Inc
Doing business as Chiropractic Sports Medicine
- Chiropractor
- Laguna Hills, CA
National Provider Identifier
1013998764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27735
- Legal business name
- STEVE J COSTALES CHIROPRACTIC INC
- Doing business as
- Chiropractic Sports Medicine
- Practice address
- 24741 Alicia Pkwy
Suite D
Laguna Hills, CA 92653-4613 - Phone
- (949) 951-1160
- Fax
- (949) 951-1107
- NPI assigned
- Nov 9, 2005
- Last updated
- Sep 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve Jon Costales, DC MS ATC
- Title
- Owner President
- Phone
- (949) 951-1160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27735 | CA | Primary |
Addresses
Primary practice location
24741 Alicia Pkwy
Suite D
Laguna Hills, CA 92653-4613
Mailing address
24741 Alicia Pkwy
Suite D
Laguna Hills, CA 92653-4613
Phone (949) 951-1160
Other names 1
- Chiropractic Sports Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24741 Alicia Pkwy
Ste D
Laguna Hills, CA 92653
Phone (949) 951-1160
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Laguna Hills, CA
- NPI 1689830135
-
- Chiropractor
- Laguna Hills, CA
- NPI 1780665588
-
- Chiropractor
- Lake Forest, CA
- NPI 1720212343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1013998764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24741 ALICIA PKWY",
"address_2": "SUITE D",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534613",
"telephone_number": "949-951-1160",
"fax_number": "949-951-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24741 ALICIA PKWY",
"address_2": "SUITE D",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534613",
"telephone_number": "949-951-1160",
"fax_number": "949-951-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVE J COSTALES CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-09",
"last_updated": "2023-09-06",
"status": "A",
"authorized_official_last_name": "COSTALES",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "949-951-1160",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC MS ATC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chiropractic Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.