Active NPI
Vanessa Andrade, DC
- Chiropractor
- Orange, CA
National Provider Identifier
1336684562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC37196
- Practice address
- 172 N Tustin St Ste 101
Orange, CA 92867-7780 - Phone
- (714) 576-2500
- NPI assigned
- Dec 26, 2016
- Reactivated
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC37196 | CA | Primary |
Addresses
Primary practice location
172 N Tustin St Ste 101
Orange, CA 92867-7780
Mailing address
172 N Tustin St Ste 101
Orange, CA 92867-7780
Phone (714) 576-2500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC37196 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Learning and Autism Support Services, Inc. | Behavior Analyst | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- San Mateo, CA
- NPI 1417139288
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1336684562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 N TUSTIN ST STE 101",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677780",
"telephone_number": "714-576-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 N TUSTIN ST STE 101",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677780",
"telephone_number": "714-576-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-26",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"deactivation_date": "2025-02-12",
"reactivation_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC37196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.