Individual provider Active NPI

Jason William Amstutz, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1073716601
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30301 Issued in CA
Practice address
361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525
Phone
(949) 465-0770
Fax
(949) 220-9103
NPI assigned
Jun 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30301 CA Primary

Addresses

Primary practice location

361 Hospital Rd Ste 428
Newport Beach, CA 92663-3525

Mailing address

17524 Von Karman Ave
Irvine, CA 92614-6208
Phone (949) 722-7070

Other practice location 1

17524 Von Karman Ave
Irvine, CA 92614-6208
Phone (949) 722-7070

Other identifiers 5

IdentifierTypeStateIssuer
1306016043OtherCAFRANK ACUNIA
1053729293OtherCAKENNETH DOBBS
1184929408OtherCAMICHAEL HOLLIS
1043277866OtherNYDON ROURKE
1184083057OtherCAANDREW ADAMS

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
DC30301CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Med Group, Inc. Chiropractor Current Accepting new patients
Amstutz Chiropractic, PC Chiropractor Current Accepting new patients

Organizations & group practices 2

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": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1073716601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17524 VON KARMAN AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146208",
            "telephone_number": "949-722-7070",
            "fax_number": "949-398-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 428",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633525",
            "telephone_number": "949-465-0770",
            "fax_number": "949-220-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17524 Von Karman Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146208",
            "country_code": "US",
            "telephone_number": "949-722-7070",
            "fax_number": "949-398-5206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMSTUTZ",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRANK ACUNIA",
            "identifier": "1306016043",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENNETH DOBBS",
            "identifier": "1053729293",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL HOLLIS",
            "identifier": "1184929408",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DON ROURKE",
            "identifier": "1043277866",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDREW ADAMS",
            "identifier": "1184083057",
            "state": "CA"
        }
    ],
    "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 Apr 3, 2019; 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.