Active NPI
Justin Westbrook, DC
- Chiropractor
- San Clemente, CA
National Provider Identifier
1356166334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36867
- Practice address
- 1211 Puerta del Sol Ste 130
San Clemente, CA 92673-6342 - Phone
- (949) 228-5820
- NPI assigned
- Nov 15, 2024
- Sex
- Male
- 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 | 36867 | CA | Primary |
Addresses
Primary practice location
1211 Puerta del Sol Ste 130
San Clemente, CA 92673-6342
Mailing address
2152 Dupont Dr Ste 101
Irvine, CA 92612-1315
Other practice location 1
2152 DuPont Dr Ste 101
Irvine, CA 92612-1315
Phone (949) 228-5820
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 |
|---|---|---|---|
| 36867 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1356166334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 DUPONT DR STE 101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 PUERTA DEL SOL STE 130",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736342",
"telephone_number": "949-228-5820"
}
],
"practiceLocations": [
{
"address_1": "2152 DuPont Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926121315",
"country_code": "US",
"telephone_number": "949-228-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESTBROOK",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "36867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.