Organization Active NPI

Timothy L Gooing D C Inc

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1295912491
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19132 Issued in CA
Legal business name
TIMOTHY L GOOING D C INC
Practice address
23695 Birtcher Dr
Lake Forest, CA 92630-1782
Phone
(949) 586-8525
Fax
(949) 586-9892
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Timothy Lee Gooing, DCNPI 1841327020
Title
Owner
Phone
(949) 586-8525

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC19132 CA Primary

Addresses

Primary practice location

23695 Birtcher Dr
Lake Forest, CA 92630-1782

Mailing address

25260 E la Paz Rd
Ste #K
Laguna Hills, CA 92653
Phone (949) 586-8525

Other names 1

  • Mission Hills Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241111001759 CA Part B Supplier - Clinic/Group Practice 0446784623 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory

Locations

25260 La Paz Rd
Ste K
Laguna Hills, CA 92653
Phone (949) 586-8525

23695 Birtcher Dr
Lake Forest, CA 92630
Phone (949) 586-8525

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": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1295912491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25260 E LA PAZ RD",
            "address_2": "STE #K",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-586-8525",
            "fax_number": "949-586-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 BIRTCHER DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301782",
            "telephone_number": "949-586-8525",
            "fax_number": "949-586-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L GOOING D C INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GOOING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-586-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hills Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.