Individual provider Active NPI

Adam Ryan Abughalya, D.C.

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1326301540
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32332 Issued in CA
Practice address
850 W 18TH St
Costa Mesa, CA 92627-4427
Phone
(925) 413-4651
NPI assigned
Jun 21, 2012
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32332 CA Primary

Addresses

Primary practice location

850 W 18TH St
Costa Mesa, CA 92627-4427

Mailing address

1405 W Balboa Blvd Apt 3
Newport Beach, CA 92661-1070
Phone (925) 413-4651

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
32332CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lazarus Chiropractic Inc. Chiropractor CurrentSince Jan 5, 2013 Accepting new patients

Locations

1734 Jefferson St
Ste A
Napa, CA 94559
Phone (707) 224-2283

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1326301540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BALBOA BLVD APT 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926611070",
            "telephone_number": "925-413-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W 18TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274427",
            "telephone_number": "925-413-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUGHALYA",
        "first_name": "ADAM",
        "middle_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.