Takeshi Ito, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26878 Issued in CA

Practice address

24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058

Phone

(949) 448-8599

Fax

(949) 448-8595

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gordon H Grannis, D.C., a Chiropractic Professional Corporation

  dba Grannis Chiropractic Clinic

  • Chiropractor
  • Aliso Viejo, CA
  • NPI 1235241944
  NPD (past)
• Kenneth Q Hoang DC a Chiropractic Corporation

  dba Grannis Chiropractic Clinic

  • Chiropractor
  • Aliso Viejo, CA
  • NPI 1669060935
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245244946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "TAKESHI",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Hwang
• Janine Ijsselstein
• Joy Ikenaga
• Kenneth Illson, DC
• Integrative Psychiatry & Wellness Professional Nursing Corporation (Integrative Psychiatry & Wellness)
• Steven Lee Itrich, P.T.
• Nicko Michelle Jaeger, FNP-BC
• Erica Jalandoni
• Jba Institute
• Jim W Lam MD Prof Corp

• Chiropractor in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.