Ideal Spine & Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC11750 Issued in CA

Legal business name

IDEAL SPINE & REHAB

Practice address

17251 17TH St Ste a&B
Tustin, CA 92780-1970

Phone

(714) 832-2273

Fax

(714) 832-2272

NPI assigned

May 13, 2011

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Pacelli, D.C.NPI 1891701413

Title

Owner

Phone

(714) 832-2273

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Pacelli, D.C.

  • Chiropractor
  • Tustin, CA
  • NPI 1891701413
  NPD (past) Authorized official
• Allen Houshiar, DO, MS

  • Family Medicine Physician
  • Orange, CA
  • NPI 1427076272
  NPD (past)
• Tiffany A Clark, PAC

  • Physician Assistant
  • Albert Lea, MN
  • NPI 1831132406
  NPD (past)

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1205128949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17251 17TH ST STE A&B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801970",
            "telephone_number": "714-832-2273",
            "fax_number": "714-832-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17251 17TH ST STE A&B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801970",
            "telephone_number": "714-832-2273",
            "fax_number": "714-832-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "PACELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-832-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30257",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Hynynen, LCSW
• Rebecca Jane Hyrkas, CMPSS
• Ashley Giselle Ibarra
• Lupe S Ibarra, PHARMACY TECHNICIAN
• Rodney Ida, D.D.S.
• Almoatazbellah Magdeldin Idriss, MD
• Amanda M Imai, NP
• Rachel Immel
• Imran Sharief, M.D., Inc.
• Mishal Saniya Imran, BA

• 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 Nov 30, 2016; 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.