Individual provider Active NPI

Nicholas Tauaese, DC

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1124840046
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35243 Issued in CA
Practice address
23161 Lake Center Dr Ste 130
Lake Forest, CA 92630-6822
Phone
(949) 436-7953
NPI assigned
Oct 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 35243 CA Primary

Addresses

Primary practice location

23161 Lake Center Dr Ste 130
Lake Forest, CA 92630-6822

Mailing address

4675 Macarthur CT Ste 550
Newport Beach, CA 92660-8836
Phone (949) 436-7953

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1124840046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MACARTHUR CT STE 550",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608836",
            "telephone_number": "949-436-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 LAKE CENTER DR STE 130",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306822",
            "telephone_number": "949-436-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUAESE",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35243",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.