Jacob Edward Samuelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36494 Issued in CA

Practice address

14120 Beach Blvd Ste 225
Westminster, CA 92683-4497

Phone

(866) 303-9355

NPI assigned

Oct 31, 2022

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

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.

• Advanced Joint and Spine Medical Center Inc.

  dba OC Wellness Physicians Medical Group Orange

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Orange, CA
  • NPI 1962930628
  Medicare reassignment NPD
• Superior Joint and Spine Medical Center Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westminster, CA
  • NPI 1679093728
  Medicare reassignment NPD
• April Lopez Chiropractic. a Professional Corporation

  dba Stadium Chiropractic

  • Rehabilitation Chiropractor
  • Orange, CA
  • NPI 1255452835
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1356058333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 225",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834497",
            "telephone_number": "866-303-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 225",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834497",
            "telephone_number": "866-303-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "JACOB",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Salas
• Elizabeth Salazar
• Martha Saldivar
• Ranya Salib, RPH
• Dennis I Saller, L.E.P.
• Mario Fernando San Bartolome Jr., MD
• Zuly Sanchez Martinez
• Ashley June Sanchez, MSW INTERN, RADT
• Brenda Sanchez
• Francis Sanchez

• Chiropractor in Westminster, CA
• Providers in Westminster, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.