Individual provider Active NPI

James Reiley

  • Chiropractor
  • Aliso Viejo, CA
National Provider Identifier
1316194061
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C. 24205 Issued in CA
Practice address
27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363
Phone
(949) 448-9088
Fax
(949) 448-9096
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X D.C. 24205 CA Primary

Addresses

Primary practice location

27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363

Mailing address

27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363
Phone (949) 448-9088

Other identifiers 1

IdentifierTypeStateIssuer
DC24205OtherCAD.C. LISCENCE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000635 CA Practitioner - Chiropractic 9739231416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27131 Aliso Creek Rd
Suite 105
Aliso Viejo, CA 92656-3361
Phone (949) 448-9088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.C. 24205CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reiley Chiropractic a Professional Chiropractic Corporation Chiropractor CurrentSince Jun 2, 2009 Accepting new patients

Locations

27131 Aliso Creek Rd
Ste 105
Aliso Viejo, CA 92656
Phone (949) 448-9088

Organizations & group practices 1

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1316194061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 ALISO CREEK RD",
            "address_2": "#105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563363",
            "telephone_number": "949-448-9088",
            "fax_number": "949-448-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 ALISO CREEK RD",
            "address_2": "#105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563363",
            "telephone_number": "949-448-9088",
            "fax_number": "949-448-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILEY",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "D.C. 24205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.C. LISCENCE NUMBER",
            "identifier": "DC24205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.