Ryan Blake Samuelian, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29287 Issued in CA

Practice address

20162 SW Birch St Ste 280
Newport Beach, CA 92660-1536

Phone

(949) 650-0736

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Hewitt Nessa and SamuelianGroup PAC ID 3274861638, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryan Samuelian Chiropractic Corp

  dba Back To Basics Health and Wellness

  • Chiropractor
  • Newport Beach, CA
  • NPI 1235497728
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Rispler MD a Professional Corporation

  • Procedural Dermatology Physician
  • Covina, CA
  • NPI 1093010480
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1346362431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601536",
            "telephone_number": "949-650-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELIAN",
        "first_name": "RYAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Samini, DDS
• Christopher Sample, PSYD
• Bryan Samson, PT, DPT
• Natalie Samson, CGC
• Christine Samuel, NP
• Carolyn Ann Samuels, LMT
• Bonnie Lauren Samuelson, OD
• Sanaz Khorrami MD, Inc.
• Laura Graciela Sanchez Solis
• Estrella Sanchez-Kasai

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.