Active NPI
Vivien Lee Sampica, DC
- Chiropractor
- Tustin, CA
National Provider Identifier
1376957688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC32964
- Practice address
- 17332 Irvine Blvd Ste 295
Tustin, CA 92780-3098 - Phone
- (714) 544-1055
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC32964 | CA | Primary |
Addresses
Primary practice location
17332 Irvine Blvd Ste 295
Tustin, CA 92780-3098
Mailing address
12720 Newport Ave
Unit 19
Tustin, CA 92780-2744
Phone (714) 335-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC32964 | CA | MD | Chiropractor |
| 32964 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1376957688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12720 NEWPORT AVE",
"address_2": "UNIT 19",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802744",
"telephone_number": "714-335-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 IRVINE BLVD STE 295",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803098",
"telephone_number": "714-544-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPICA",
"first_name": "VIVIEN LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC32964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.