Vincent Anthony Anderson, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

35216 Issued in CA

Practice address

17811 Sky Park Cir Ste E
Irvine, CA 92614-6109

Phone

(480) 793-0652

NPI assigned

Apr 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1154178085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 SAN TROPEZ CT",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514433",
            "telephone_number": "480-793-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17811 SKY PARK CIR STE E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146109",
            "telephone_number": "480-793-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "35216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Renee Anderson, PMHNP-BC
• Paul B Anderson, D.D.S., M.D.
• Skye Ashley Anderson
• Tara L Anderson, PA-C
• Veronica Anderson, LMHC, LMFT
• Kei Lani Ando
• Andrew D. Smith, M.D., a Professional Corporation
• Andrew Dinh, DMD, Inc
• Andrew W Rawlings DC a Prof Chiro C
• Nirina-Soa M Andrianifahanana, MS,BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.