Active NPI
Escobedo Chiropractic Inc.
Doing business as Coast Family Chiropractic
- Chiropractor
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28886
- Legal business name
- ESCOBEDO CHIROPRACTIC INC.
- Doing business as
- Coast Family Chiropractic
- Practice address
- 179 E 17TH St
Suite a
Costa Mesa, CA 92627-3724 - Phone
- (949) 722-7572
- Fax
- (949) 722-7603
- NPI assigned
- Mar 19, 2012
- Last updated
- Mar 19, 2012
- 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
- Dr. Rod J. Escobedo, D.C.
- Title
- Owner
- Phone
- (949) 722-7572
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28886 | CA | Primary |
Addresses
Primary practice location
179 E 17TH St
Suite a
Costa Mesa, CA 92627-3724
Mailing address
179 E 17TH St
Suite a
Costa Mesa, CA 92627-3724
Phone (949) 722-7572
Other names 1
- Coast Family Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
179 E 17th St
Ste A
Costa Mesa, CA 92627
Phone (949) 722-7572
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1609016591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332115200000",
"number": "1295000636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 E 17TH ST",
"address_2": "SUITE A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273724",
"telephone_number": "949-722-7572",
"fax_number": "949-722-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 E 17TH ST",
"address_2": "SUITE A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273724",
"telephone_number": "949-722-7572",
"fax_number": "949-722-7603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESCOBEDO CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2012-03-19",
"status": "A",
"authorized_official_last_name": "ESCOBEDO",
"authorized_official_first_name": "ROD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-722-7572",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coast Family Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.