Active NPI
John Maxwell Gooing, DC
- Chiropractor
- Lake Forest, CA
National Provider Identifier
1235723685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35023
- Practice address
- 23695 Birtcher Dr Ste a
Lake Forest, CA 92630-1782 - Phone
- (949) 586-8525
- NPI assigned
- Feb 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 35023 | CA | Primary |
Addresses
Primary practice location
23695 Birtcher Dr Ste a
Lake Forest, CA 92630-1782
Mailing address
23695 Birtcher Dr Ste a
Lake Forest, CA 92630-1782
Phone (949) 586-8525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35023 | Other | CA | DO NOT HAVE ANY OTHER IDENTIFIERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@missionhillschiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210512003233 | CA | Practitioner - Chiropractic | 5193134641 | Practice locations: Lake Forest, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23695 Birtcher Dr
Suite a
Lake Forest, CA 92630-1782
Phone (949) 586-8525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35023 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig a Stutzman Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
23695 Birtcher Dr
Ste A
Lake Forest, CA 92630
Phone (949) 586-8525
23695 Birtcher Dr
Lake Forest, CA 92630
Phone (949) 586-8525
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 and National Provider Directory roles.
-
- Chiropractor
- Lake Forest, CA
- NPI 1114465986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1235723685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23695 BIRTCHER DR STE A",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301782",
"telephone_number": "949-586-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23695 BIRTCHER DR STE A",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301782",
"telephone_number": "949-586-8525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOING",
"first_name": "JOHN",
"middle_name": "MAXWELL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE ANY OTHER IDENTIFIERS",
"identifier": "35023",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@missionhillschiropractic.com",
"affiliation": "N",
"endpointDescription": "Office Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23695 Birtcher Dr Ste A",
"city": "Lake Forest",
"state": "CA",
"country_code": "US",
"postal_code": "926301782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.