Lifespring Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26899 Issued in CA

Legal business name

LIFESPRING CHIROPRACTIC INC

Practice address

4030 Birch Street
Suite 107
Newport Beach, CA 92660-2291

Phone

(949) 752-5533

Fax

(949) 752-5532

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Derek W Mason, DCNPI 1700016136

Title

Owner Ceo

Phone

(949) 752-5533

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Derek Mason

  • Chiropractor
  • Newport Beach, CA
  • NPI 1700016136
  Medicare reassignment NPD Authorized official
• Yasmine Ellen Areno-Mason, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1992935340
  NPD (past)
• Tyler Bigenho, DC

  • Chiropractor
  • Newport Beach, CA
  • NPI 1841859261
  NPD (past)
• Donna Bourgeois Diaz, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1851838114
  NPD (past)
• Jordan Matthew Johnson, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1699032227
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164557476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BIRCH STREET",
            "address_2": "SUITE 107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602291",
            "telephone_number": "949-752-5533",
            "fax_number": "949-752-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BIRCH STREET",
            "address_2": "SUITE 107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602291",
            "telephone_number": "949-752-5533",
            "fax_number": "949-752-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "949-752-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26839",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J. Lien, M.D.
• Kristina Lieu
• Eve Elizabeth Lievonen, LCSW
• Life Point Acupuncture, Inc.
• Lifeline 2 Wellness
• Lifeturn Weight Loss, LLC
• Lifovum Fertility Managment, LLC
• Lifting Spirits
• Carolyn C Light, DDS
• Lighten Up Health Center

• 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 Aug 22, 2020; 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.