Individual provider Active NPI

Douglas Jeffrey Poff, D.C.

  • Chiropractor
  • Seal Beach, CA
National Provider Identifier
1306802525
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16482 Issued in CA
Practice address
500 Pacific Coast Hwy
210B
Seal Beach, CA 90740-5993
Phone
(562) 431-6688
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16482 CA Primary

Addresses

Primary practice location

500 Pacific Coast Hwy
210B
Seal Beach, CA 90740-5993

Mailing address

500 Pacific Coast Hwy
210B
Seal Beach, CA 90740-5993
Phone (562) 431-6688

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16482CAMDChiropractor
16482CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richter Medical Corporation PastSince Dec 15, 2024 Accepting new patients
Joshua and Jacob Paredes Chiropractic Corp PastSince Apr 9, 2018 Accepting new patients

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1306802525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PACIFIC COAST HWY",
            "address_2": "210B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405993",
            "telephone_number": "562-431-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PACIFIC COAST HWY",
            "address_2": "210B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405993",
            "telephone_number": "562-431-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "DOUGLAS",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.