Organization Active NPI

Muffoletto Chiropractic Inc

  • Chiropractor
  • Fountain Valley, CA
National Provider Identifier
1366824062
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18556 Issued in CA
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 INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Michael Anthony Muffoletto, DCNPI 1720271745
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150722005593 CA Part B Supplier - Clinic/Group Practice 8628381498 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

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.

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.

Verify at the official NPI Registry.