Ganem Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-24373 Issued in CA

Legal business name

GANEM CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

4482 Barranca Pkwy
Suite 192
Irvine, CA 92604-7701

Phone

(949) 552-5094

Fax

(949) 552-5096

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Emile Ganem, D.C.NPI 1457490260

Title

President

Phone

(949) 552-5094

Specialties & licenses 1

Addresses

Other names 1

• BodyPro Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Body Pro Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ganem Chiropractic Professional Corp

  • Chiropractor
  • Irvine, CA
  • NPI 1457463796
  NPD tax ID

Locations

Practitioners 4

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

• Raymond Emile Ganem, D.C.

  • Chiropractor
  • Irvine, CA
  • NPI 1457490260
  Medicare reassignment NPD Authorized official
• Donna Greer Cespon, MPT

  • Physical Therapist
  • Irvine, CA
  • NPI 1427168533
  NPD (past)
• John Y. Lee, D.C.

  • Chiropractor
  • Irvine, CA
  • NPI 1447314257
  NPD (past)
• Andrew Park, DC, CCSP

  • Chiropractor
  • Irvine, CA
  • NPI 1184840217
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104968700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 192",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-552-5094",
            "fax_number": "949-552-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY",
            "address_2": "SUITE 192",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047701",
            "telephone_number": "949-552-5094",
            "fax_number": "949-552-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANEM CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANEM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EMILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-552-5094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-24373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyPro Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Gancayco, RPE-SLP
• Brenda Liliana Gandara, PHD
• Najma Latif Gandhi, M.D.
• Vishal Dilip Gandhi, PHARM D
• Ganem Chiropractic Professional Corp
• Raymond Emile Ganem, D.C.
• Tannaz Gangei
• Barbara S Ganser
• Yangyang Gao
• James Allen Gaor, M.D.

• Chiropractor in Irvine, CA
• Providers in Irvine, CA by specialty
• Chiropractor in California

• 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.