Active NPI
Mitch Patterson, DC
- Chiropractor
- Orange, CA
National Provider Identifier
1124119128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22248
- Practice address
- 516 E Chapman Ave
Orange, CA 92866-1603 - Phone
- (714) 633-1648
- Fax
- (714) 639-6351
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 22248 | CA | Primary |
Addresses
Primary practice location
516 E Chapman Ave
Orange, CA 92866-1603
Mailing address
516 E Chapman Ave
Orange, CA 92866-1603
Phone (714) 633-1648
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22248 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1124119128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661603",
"telephone_number": "714-633-1648",
"fax_number": "714-639-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 E CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661603",
"telephone_number": "714-633-1648",
"fax_number": "714-639-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MITCH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.