Julio Cesar Fassino, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19111 Issued in CA

Practice address

20321 SW Acacia St Ste 100
Newport Beach, CA 92660-1762

Phone

(949) 293-9753

Fax

(949) 209-3701

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1083776496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601762",
            "telephone_number": "949-293-9753",
            "fax_number": "949-209-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601762",
            "telephone_number": "949-293-9753",
            "fax_number": "949-209-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSINO",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony G Fedoryk, D.C.
• Melissa Wells Fedoryk, MA

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; 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.