Angela Iacovino Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26556 Issued in CA

Legal business name

ANGELA IACOVINO CHIROPRACTIC, INC

Practice address

901 Dover Dr
Suite 234
Newport Beach, CA 92660-5538

Phone

(949) 642-8193

Fax

(949) 642-8195

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angela Cerice Iacovino, D.C.NPI 1275635575

Title

Owner D.C.

Phone

(949) 642-8193

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Angela Cerice Iacovino, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1275635575
  Medicare reassignment NPD Authorized official
• Joshua Samuel Ceballos, LMT

  • Massage Therapist
  • Newport Beach, CA
  • NPI 1457047847
  NPD
• Phillip P Rojas

  • Massage Therapist
  • Newport Beach, CA
  • NPI 1578250445
  NPD
• Robert J Foster, PT

  • Physical Therapist
  • Trabuco Canyon, CA
  • NPI 1013012343
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1104990787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "SUITE 234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-642-8193",
            "fax_number": "949-642-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "SUITE 234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-642-8193",
            "fax_number": "949-642-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA IACOVINO CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "IACOVINO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CERICE",
        "authorized_official_title_or_position": "OWNER D.C.",
        "authorized_official_telephone_number": "949-642-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "DC26556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "DC26556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DC0265560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0265560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "DC26556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "DC26556",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC26556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "DC26556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Schneider, DO, Inc
• Jillian Andrews, P.T.
• Amy Heather Anfuso, PA-C
• Angel Medical Group, Inc
• Stephen Paul Angel, M.D.
• Angela M Colombo MD Inc
• Anna-Maria Kourumalos Angelakis, M.D.
• Angell Chiropractic & Wellness Center, Inc.
• Jennifer Ann Angell, DC, CPM, LM
• Richard B Angell III, DMD, MSD

• 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 11, 2007; 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.