NPIMap

Organization Active NPI

Excelsior Chiropractic & Rehab

  • Rehabilitation Chiropractor
  • Garden Grove, CA
National Provider Identifier
1366600520
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
29773 Issued in CA
Legal business name
EXCELSIOR CHIROPRACTIC & REHAB
Practice address
12800 Garden Grove Blvd
Suite a
Garden Grove, CA 92843-2008
Phone
(714) 417-1439
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Scott Hoang Nguyen, D.C.
Title
Ceo
Phone
(714) 417-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 29773 CA Primary

Addresses

Primary practice location

12800 Garden Grove Blvd
Suite a
Garden Grove, CA 92843-2008

Mailing address

12800 Garden Grove Blvd
Suite a
Garden Grove, CA 92843-2008
Phone (714) 417-1439

National Provider Directory

National Provider Directory
Tax ID family
Excelsior Chiropractic Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1366600520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-417-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 GARDEN GROVE BLVD",
            "address_2": "SUITE A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432008",
            "telephone_number": "714-417-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-417-1439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "29773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.