Active NPI
The Break Off
- Public Health & General Preventive Medicine Physician
- Anaheim, CA
National Provider Identifier
1215740170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- THE BREAK OFF
- Practice address
- 1735 S Dallas Dr
Anaheim, CA 92804-6503 - Phone
- (562) 370-5523
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlene Chandler
- Title
- Coo
- Phone
- (562) 370-5523
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | |||
| Dental Hygienist | 124Q00000X | |||
| Nutritionist | 133N00000X | |||
| Allergy Physician | 207KA0200X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary |
Addresses
Primary practice location
1735 S Dallas Dr
Anaheim, CA 92804-6503
Mailing address
1735 S Dallas Dr
Anaheim, CA 92804-6503
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1215740170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 S DALLAS DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 S DALLAS DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046503",
"telephone_number": "562-370-5523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BREAK OFF",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "562-370-5523"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
- The Anaheim VHS Limited Partnership
- The Anaheim VHS Limited Partnership
- The Anaheim VHS Limited Partnership
- The Anaheim VHS Limited Partnership
- The Anaheim VHS Limited Partnership
- The Bridge to a Dream Inc.
- The Center for Adolescent Addiction Recovery
- The Chel Acupuncture, Inc
- The Cpap Supply Store
- The Eli Home, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.