Organization Active NPI

Preston Le Chiropractic, Inc.

  • Chiropractor
  • Westminster, CA
National Provider Identifier
1083778419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C.27797 Issued in CA
Legal business name
PRESTON LE CHIROPRACTIC, INC.
Practice address
9361 Bolsa Ave Ste 104
Westminster, CA 92683-5953
Phone
(714) 863-8808
Fax
(714) 775-7590
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Preston Phu Le, D.C.NPI 1265540512
Title
Doctor of Chiropractic, Ceo
Phone
(714) 863-8808

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X D.C.27797 CA Primary

Addresses

Primary practice location

9361 Bolsa Ave Ste 104
Westminster, CA 92683-5953

Mailing address

9361 Bolsa Ave Ste 104
Westminster, CA 92683-5953
Phone (714) 863-8808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250228002625 CA Part B Supplier - Clinic/Group Practice 7618498007 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

9361 Bolsa Ave
Ste 104
Westminster, CA 92683
Phone (714) 454-5808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083778419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9361 BOLSA AVE STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835953",
            "telephone_number": "714-863-8808",
            "fax_number": "714-775-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9361 BOLSA AVE STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835953",
            "telephone_number": "714-863-8808",
            "fax_number": "714-775-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON LE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "PHU",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC, CEO",
        "authorized_official_telephone_number": "714-863-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "D.C.27797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.