Active NPI
Philip A Straw, D.C.
- Chiropractor
- Lake Forest, CA
National Provider Identifier
1104929371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24628
- Practice address
- 23101 Lake Center Dr
100
Lake Forest, CA 92630-2801 - Phone
- (949) 297-3704
- Fax
- (949) 297-3706
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24628 | CA | Primary |
Addresses
Primary practice location
23101 Lake Center Dr
100
Lake Forest, CA 92630-2801
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629699 | Other | CA | GROUP NPI |
| DC24628 | Other | CA | CHIROPRACTIC LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straw Chiropractic Corp | Chiropractor | Past | Accepting new patients |
| Santa Margarita Medical Group | Past | 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.
-
- Chiropractor
- Lake Forest, CA
- NPI 1154629699
-
- Specialist
- Rancho Santa Margarita, CA
- NPI 1619032208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1104929371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23101 LAKE CENTER DR",
"address_2": "100",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302801",
"telephone_number": "949-297-3704",
"fax_number": "949-297-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAW",
"first_name": "PHILIP",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1154629699",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC24628",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.