Individual provider Active NPI

Douglas A Disiena, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1356417943
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17101 Issued in CA
Practice address
6 Venture
Suite 115
Irvine, CA 92618-3340
Phone
(949) 559-6030
Fax
(949) 559-6037
NPI assigned
Nov 27, 2006
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17101 CA Primary

Addresses

Primary practice location

6 Venture
Suite 115
Irvine, CA 92618-3340

Mailing address

6 Venture
Suite 115
Irvine, CA 92618-3340
Phone (949) 559-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000567 CA Practitioner - Chiropractic 0941362271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Disiena Family Chiropractic, a Prof CorpGroup PAC ID 0143382465, 3 clinicians

Practice addresses (Care Compare)

6 Venture
Suite 115
Irvine, CA 92618-3340

6 Venture
Suite 115
Irvine, CA 92618-7347
Phone (949) 559-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17101CAMDChiropractor
17101CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Disiena Family Chiropractic, a Prof Corp Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

4482 Barranca Pkwy
Ste 170
Irvine, CA 92604
Phone (949) 559-6030

6 Venture
Ste 115
Irvine, CA 92618
Phone (949) 551-8002

Organizations & group practices 2

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1356417943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VENTURE",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-559-6030",
            "fax_number": "949-559-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VENTURE",
            "address_2": "SUITE 115",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183340",
            "telephone_number": "949-559-6030",
            "fax_number": "949-559-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISIENA",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.