Organization Active NPI

Ryan Samuelian Chiropractic Corp

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1235497728
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29287 Issued in CA
Legal business name
RYAN SAMUELIAN CHIROPRACTIC CORP
Practice address
20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536
Phone
(949) 650-0736
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Ryan Blake Samuelian, DCNPI 1346362431
Title
Owner
Phone
(949) 650-0736

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 29287 CA Primary

Addresses

Primary practice location

20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536

Mailing address

20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536
Phone (949) 650-0736

Other names 1

  • Back To Basics Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190822001908 CA Part B Supplier - Clinic/Group Practice 3274861638 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

1617 Westcliff Dr
Ste 205
Newport Beach, CA 92660
Phone (949) 432-4730

20162 SW Birch St
Ste 280
Newport Beach, CA 92660
Phone (949) 650-0736

Practitioners & affiliated clinicians

Practitioners 4

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1235497728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN SAMUELIAN CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "SAMUELIAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-650-0736",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Basics Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back To Basics Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.