Active NPI
Gregory J Valentine a C P C
- Chiropractor
- Fullerton, CA
National Provider Identifier
1306125901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16571
- Legal business name
- GREGORY J VALENTINE A C P C
- Doing business as
- Valentine Chiropractic
- Practice address
- 162 N Raymond Ave
Fullerton, CA 92831-4610 - Phone
- (714) 738-0115
- Fax
- (714) 525-0755
- NPI assigned
- Aug 12, 2011
- 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
- Gregory J Valentine, D.C.
- Title
- Provider
- Phone
- (714) 738-0115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC16571 | CA | Primary |
Addresses
Primary practice location
162 N Raymond Ave
Fullerton, CA 92831-4610
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0165710 | Other | CA | INDIVIDUAL BS PIN |
| DC16571 | Other | CA | INDIVIDUAL PTAN |
| DC16571 | Other | CA | CHIROPRACTIC LICENSE |
Other names 1
- Valentine Chiropractic
National Provider Directory
National Provider DirectoryLocations
1661 N Raymond Ave
Ste 105
Anaheim, CA 92801
Phone (714) 738-0115
162 N Raymond Ave
Fullerton, CA 92831
Phone (714) 525-8700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fullerton, CA
- NPI 1912114174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1306125901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 N RAYMOND AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928314610",
"telephone_number": "714-738-0115",
"fax_number": "714-525-0755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY J VALENTINE A C P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-12",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "714-738-0115",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BS PIN",
"identifier": "DC0165710",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "DC16571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC16571",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valentine Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.