Individual provider Active NPI

Phillip Mario Vournazos, D.C.

  • Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1356827695
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34259 Issued in CA
Practice address
7772 Warner Ave Ste 101
Huntington Beach, CA 92647-8028
Phone
(714) 465-2327
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34259 CA Primary

Addresses

Primary practice location

7772 Warner Ave Ste 101
Huntington Beach, CA 92647-8028

Mailing address

7772 Warner Ave Ste 101
Huntington Beach, CA 92647-8028
Phone (714) 465-2327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001832 CA Practitioner - Chiropractic 2264836881 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34259CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC CurrentSince Jan 6, 2026 Accepting new patients
Superior Joint and Spine Medical Center Inc. CurrentSince Jun 1, 2021 Accepting new patients
Twins Physical Medicine Corp CurrentSince Jan 2, 2025 Accepting new patients
Advanced Joint and Spine Medical Center Inc. CurrentSince Jun 1, 2021 Accepting new patients
April Lopez Chiropractic. a Professional Corporation Chiropractor PastSince Jun 1, 2021 Accepting new patients
Twins Wellness Chiropractor Past Accepting new patients

Locations

400 Ramona Ave
Ste 113
Corona, CA 92879
Phone (714) 621-0327

13311 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (714) 621-0312

23101 Lake Center Dr
Ste 110
Lake Forest, CA 92630
Phone (949) 586-2730

2029 W Orangewood Ave
Ste A
Orange, CA 92868
Phone (714) 385-9088

14120 Beach Blvd
Ste 225
Westminster, CA 92683
Phone (866) 303-9355

5455 Garden Grove Blvd
Ste 100
Westminster, CA 92683
Phone (414) 988-4203

Organizations & group practices 6

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1356827695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7772 WARNER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478028",
            "telephone_number": "714-465-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7772 WARNER AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478028",
            "telephone_number": "714-465-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOURNAZOS",
        "first_name": "PHILLIP",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.