Individual provider Active NPI

Shayna Chrystine Guitare, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1295237600
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34120 Issued in CA
Practice address
20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536
Phone
(949) 650-0736
Fax
(949) 650-3912
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34120 CA Primary

Addresses

Primary practice location

20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536

Mailing address

20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536
Phone (949) 650-0736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002687 CA Practitioner - Chiropractic 4880927490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Hewitt Nessa and SamuelianGroup PAC ID 3274861638, 2 clinicians

Practice addresses (Care Compare)

20162 SW Birch St
Suite 280
Newport Beach, CA 92660-1536
Phone (949) 650-0736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34120CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Samuelian Chiropractic Corp Chiropractor CurrentSince Jun 1, 2019 Accepting new patients
Jacob Rispler MD a Professional Corporation PastSince Jul 17, 2022 Accepting new patients

Locations

20311 SW Birch St
Ste 150
Newport Beach, CA 92660
Phone (949) 427-2020

20162 SW Birch St
Ste 280
Newport Beach, CA 92660
Phone (949) 650-0736

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1295237600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736",
            "fax_number": "949-650-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736",
            "fax_number": "949-650-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITARE",
        "first_name": "SHAYNA",
        "middle_name": "CHRYSTINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.

Verify at the official NPI Registry.