Active NPI
Corey Arthur Hollis, D.C.
- Rehabilitation Chiropractor
- Irvine, CA
National Provider Identifier
1295994101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 28089
- Practice address
- 17911 Sky Park Cir
Suite L
Irvine, CA 92614-6322 - Phone
- (949) 502-5520
- Fax
- (949) 502-5593
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 28089 | CA | Primary |
| Orthopedic Chiropractor | 111NX0800X | 28089 | CA |
Addresses
Primary practice location
17911 Sky Park Cir
Suite L
Irvine, CA 92614-6322
Mailing address
17911 Sky Park Cir
Suite L
Irvine, CA 92614-6322
Phone (949) 502-5520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28089 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physica Inc. | Current | Accepting new patients | |
| Oc Physicians Group | Rehabilitation | Past | Accepting new patients |
Locations
17911 Sky Park Cir
Ste L
Irvine, CA 92614
Phone (949) 502-5520
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.
-
- Physical Therapist
- Irvine, CA
- NPI 1972621001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1295994101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17911 SKY PARK CIR",
"address_2": "SUITE L",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146322",
"telephone_number": "949-502-5520",
"fax_number": "949-502-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17911 SKY PARK CIR",
"address_2": "SUITE L",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146322",
"telephone_number": "949-502-5520",
"fax_number": "949-502-5593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "COREY",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "28089",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "28089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.