Active NPI
Designer Health and Rehab Medical Corporation
- Rehabilitation Chiropractor
- Irvine, CA
National Provider Identifier
1073846820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 15396
- Legal business name
- DESIGNER HEALTH AND REHAB MEDICAL CORPORATION
- Practice address
- 17777 Main St
Suite D
Irvine, CA 92614-4795 - Phone
- (949) 660-8936
- Fax
- (949) 660-1512
- NPI assigned
- Sep 11, 2009
- 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
- Prof. Carol R Soloway, DC
- Title
- Ceo
- Phone
- (949) 660-8936
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 15396 | CA | Primary |
Addresses
Primary practice location
17777 Main St
Suite D
Irvine, CA 92614-4795
Mailing address
11024 Balboa Blvd # 504
Granada Hills, CA 91344-5007
Phone (818) 363-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15396 | Other | CA | LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Designer Health and Rehab Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Health Chiropractor
- Irvine, CA
- NPI 1982728564
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1902950306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252627200000",
"number": "1073846820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11024 BALBOA BLVD # 504",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913445007",
"telephone_number": "818-363-3000",
"fax_number": "818-363-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17777 MAIN ST",
"address_2": "SUITE D",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144795",
"telephone_number": "949-660-8936",
"fax_number": "949-660-1512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESIGNER HEALTH AND REHAB MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A",
"authorized_official_last_name": "SOLOWAY",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-660-8936",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "15396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "15396",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.