Active NPI
Muffoletto Chiropractic Inc
- Chiropractor
- Fountain Valley, CA
National Provider Identifier
1366824062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18556
- Legal business name
- MUFFOLETTO CHIROPRACTIC INC
- Practice address
- 17922 Magnolia St
Fountain Valley, CA 92708-5039 - Phone
- (714) 964-5100
- Fax
- (714) 964-5126
- NPI assigned
- Jun 18, 2015
- Organization subpart
- Yes
- Parent organization
- MUFFOLETTO CHIROPRACTIC INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Anthony Muffoletto, DC
- Title
- Owner/Doctor
- Phone
- (714) 964-5100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18556 | CA | Primary |
Addresses
Primary practice location
17922 Magnolia St
Fountain Valley, CA 92708-5039
Mailing address
17922 Magnolia St
Fountain Valley, CA 92708-5039
Phone (714) 964-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Muffoletto Chiropractic Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fountain Valley, CA
- NPI 1720271745
-
- Chiropractor
- Fountain Valley, CA
- NPI 1396807954
-
- Chiropractor
- Coral Gables, FL
- NPI 1447783667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1366824062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17922 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085039",
"telephone_number": "714-964-5100",
"fax_number": "714-964-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17922 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085039",
"telephone_number": "714-964-5100",
"fax_number": "714-964-5126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUFFOLETTO CHIROPRACTIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MUFFOLETTO CHIROPRACTIC INCORPORATED",
"enumeration_date": "2015-06-18",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "MUFFOLETTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "714-964-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.