Organization Active NPI

Steve J Costales Chiropractic Inc

Doing business as Chiropractic Sports Medicine

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1013998764
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27735 Issued in CA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050617000368 CA Part B Supplier - Clinic/Group Practice 7911941133 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.