Archie Bayacal, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36853 Issued in CA

Practice address

12752 Valley View St Ste D
Garden Grove, CA 92845-2500

Phone

(714) 622-5459

NPI assigned

Apr 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Groundwork Chiropractic Professional Corporation

  • Chiropractor
  • Garden Grove, CA
  • NPI 1457104077
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1386497998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 VALLEY VIEW ST STE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452500",
            "telephone_number": "714-622-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12752 VALLEY VIEW ST STE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452500",
            "telephone_number": "714-622-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYACAL",
        "first_name": "ARCHIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basem a Attum MD a Professional Corporation
• Rachel Bastone
• Jamie Baudek
• Patrice Ysabel Robey Bautista
• Kajal Bawa, DDS
• Bayan Z Naime OD Inc
• Alexandria Lenea Bazal
• Danielle Bazant
• Courtney Beals
• Clasena Jenay Beason

• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.