Organization Active NPI

Voitenko Wellness & Chiropractic Services, P.C.

  • Nutrition Chiropractor
  • Tustin, CA
National Provider Identifier
1295149268
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
VOITENKO WELLNESS & CHIROPRACTIC SERVICES, P.C.
Practice address
1101 Bryan Ave Ste B
Tustin, CA 92780-4401
Phone
(714) 730-2225
Fax
(714) 730-2223
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
Dr. Amber Voitenko-Ammerman, D.C.NPI 1710184122
Title
Doctor of Chiropractic
Phone
(714) 730-2225

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
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

1101 Bryan Ave Ste B
Tustin, CA 92780-4401

Mailing address

1101 Bryan Ave Ste B
Tustin, CA 92780-4401
Phone (714) 730-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615003271 CA Part B Supplier - Clinic/Group Practice 1355741109 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

13372 Newport Ave
Ste D
Tustin, CA 92780
Phone (714) 544-4810

Practitioners & affiliated clinicians

Practitioners 1

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": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1295149268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-730-2225",
            "fax_number": "714-730-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRYAN AVE STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804401",
            "telephone_number": "714-730-2225",
            "fax_number": "714-730-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOITENKO WELLNESS & CHIROPRACTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "VOITENKO-AMMERMAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "714-730-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.