Sergio Alejandro Candelas Martinez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34840 Issued in CA

Practice address

13422 Newport Ave Ste G
Tustin, CA 92780-3746

Phone

(714) 831-7772

Fax

(714) 884-3644

NPI assigned

Jul 2, 2020

Last updated

Jul 2, 2020By the provider in NPPES

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

State licenses

Practice roles

Locations

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

• Orange County Mission Chiropractic

  • Chiropractor
  • Tustin, CA
  • NPI 1720500408
  NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1184241341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 LAMPSON AVE SPC 90",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414122",
            "telephone_number": "714-721-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 NEWPORT AVE STE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803746",
            "telephone_number": "714-831-7772",
            "fax_number": "714-884-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELAS MARTINEZ",
        "first_name": "SERGIO",
        "middle_name": "ALEJANDRO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Campbell, B.S., M.S.
• Tami Campbell
• Ana Belen Campos
• Franki Michelle Campos
• Can Emergency Physicians Medical Group Inc
• Artemio Cano Jr., R.N.
• Kelsie Brooke Canole
• Daniel Gia-Nang Cao, D.D.S.
• Richard Cao
• Christopher Caovan, NP-C

• Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.