Organization Active NPI

My Chiropractor

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1194022244
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC20790 Issued in CA
Legal business name
MY CHIROPRACTOR
Practice address
13691 Red Hill Ave
Tustin, CA 92780-4746
Phone
(714) 544-5300
Fax
(714) 544-5300
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Dr. Mohammed Shouka, DCNPI 1356393433
Title
Owner
Phone
(714) 544-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC20790 CA Primary

Addresses

Primary practice location

13691 Red Hill Ave
Tustin, CA 92780-4746

Mailing address

13691 Red Hill Ave
Tustin, CA 92780-4746
Phone (714) 544-5300

National Provider Directory

National Provider Directory

Locations

13691 Red Hill Ave
Tustin, CA 92780
Phone (714) 535-6535

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1194022244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 RED HILL AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804746",
            "telephone_number": "714-544-5300",
            "fax_number": "714-544-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 RED HILL AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804746",
            "telephone_number": "714-544-5300",
            "fax_number": "714-544-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHIROPRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "SHOUKA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-544-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.