Organization Active NPI

Fassino, Inc.

  • Chiropractor
  • Laguna Beach, CA
National Provider Identifier
1215099353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19111 Issued in CA
Legal business name
FASSINO, INC.
Practice address
1100 S Coast Hwy
Suite 215
Laguna Beach, CA 92651-2968
Phone
(949) 376-3030
Fax
(949) 376-3028
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julio Cesar Fassino Jr., D.C.
Title
President
Phone
(949) 376-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 19111 CA Primary

Addresses

Primary practice location

1100 S Coast Hwy
Suite 215
Laguna Beach, CA 92651-2968

Mailing address

1100 S Coast Hwy
Suite 215
Laguna Beach, CA 92651-2968
Phone (949) 376-3030

Other names 1

  • Coastline Health and Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1100 S Coast Hwy
Ste 215
Laguna Beach, CA 92651
Phone (949) 376-3030

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215099353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY",
            "address_2": "SUITE 215",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512968",
            "telephone_number": "949-376-3030",
            "fax_number": "949-376-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY",
            "address_2": "SUITE 215",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512968",
            "telephone_number": "949-376-3030",
            "fax_number": "949-376-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASSINO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASSINO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-376-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Health and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.