Organization Active NPI

O.C. Spine Center

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1316106248
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30336 Issued in CA
Legal business name
O.C. SPINE CENTER
Practice address
10130 Garden Grove Blvd Ste 105
Garden Grove, CA 92844-1690
Phone
(714) 530-8813
Fax
(714) 530-8815
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Mr. Joshua Cho, D.C.
Title
Supervisor
Phone
(714) 530-8813

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30336 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC 11905 CA

Addresses

Primary practice location

10130 Garden Grove Blvd Ste 105
Garden Grove, CA 92844-1690

Mailing address

10130 Garden Grove Blvd Ste 105
Garden Grove, CA 92844-1690
Phone (714) 530-8813

National Provider Directory

National Provider Directory

Locations

10130 Garden Grove Blvd
Ste 105
Garden Grove, CA 92844
Phone (714) 530-8813

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1316106248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD STE 105",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441690",
            "telephone_number": "714-530-8813",
            "fax_number": "714-530-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD STE 105",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441690",
            "telephone_number": "714-530-8813",
            "fax_number": "714-530-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O.C. SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-530-8813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30336",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.