Individual provider Active NPI

Jared Gabriel Simbulan, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1205796067
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37491 Issued in CA
Practice address
20301 SW Birch St Ste 201
Newport Beach, CA 92660-1754
Phone
(949) 536-5506
NPI assigned
Nov 14, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37491 CA Primary

Addresses

Primary practice location

20301 SW Birch St Ste 201
Newport Beach, CA 92660-1754

Mailing address

20301 SW Birch St Ste 201
Newport Beach, CA 92660-1754
Phone (949) 536-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC37491CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Meier DC., a Professional Chiropractic Corporation CurrentSince Nov 18, 2025 Accepting new patients

Locations

20301 SW Birch St
Ste 201
Newport Beach, CA 92660
Phone (913) 526-4167

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1205796067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST STE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-536-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST STE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-536-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMBULAN",
        "first_name": "JARED",
        "middle_name": "GABRIEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.