Diane Christopherson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

18358 Issued in CA

Practice address

1502 N. Coast Highway
Laguna Beach, CA 92651-3103

Phone

(949) 497-3212

Fax

(949) 497-1564

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Diane Christopherson-Reedd.C Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California University of Health SciencesGroup PAC ID 9537073945, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.christopherson.1@29676.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California University of Health Sciences

  • Chiropractor
  • Whittier, CA
  • NPI 1881764322
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1164453460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 GLENNEYRE ST STE 233",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513103",
            "telephone_number": "949-497-3212",
            "fax_number": "949-497-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N. COAST HIGHWAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513103",
            "telephone_number": "949-497-3212",
            "fax_number": "949-497-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "DIANE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC18358",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0183580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CHRISTOPHERSON-REEDD.C",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven T Chang, MD
• Seongyeop Chin
• David W. Cho, DDS
• Tiffany Chow
• Clint Robert Christie, M.A.
• Trisha Church
• Brandon Cirbo
• City of Laguna Beach
• Clark Dentistry, Professional Corporation
• Rebecca Lynne Clark Mane, LMFT

• Chiropractor in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.