Organization Active NPI

Anaheim Chiropractic & Medical Center

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1265682173
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25696 Issued in CA
Legal business name
ANAHEIM CHIROPRACTIC & MEDICAL CENTER
Practice address
710 S Brookhurst St Ste D
Anaheim, CA 92804-4321
Phone
(714) 533-2002
Fax
(714) 533-2902
NPI assigned
Sep 27, 2008
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Ibrahim A Ghanem, D.C.NPI 1427226398
Title
Ceo
Phone
(714) 533-2922

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
Chiropractor 111N00000X DC25696 CA Primary

Addresses

Primary practice location

710 S Brookhurst St Ste D
Anaheim, CA 92804-4321

Mailing address

710 S Brookhurst St
Suite a
Anaheim, CA 92804-4321
Phone (714) 533-2922

Other practice location 1

18377 Beach Blvd Ste 108
Huntington Beach, CA 92648-1349
Phone (714) 676-8870

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Chiropractic Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

710 S Brookhurst St
Ste A
Anaheim, CA 92804
Phone (714) 494-1331

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1265682173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST",
            "address_2": "SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST STE D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2002",
            "fax_number": "714-533-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18377 Beach Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481349",
            "country_code": "US",
            "telephone_number": "714-676-8870",
            "fax_number": "714-676-8871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANAHEIM CHIROPRACTIC & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-533-2922",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.