Individual provider Active NPI

Steven S Stryker, DC

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1386647451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21525 Issued in CA
Practice address
5241 Lampson Ave
Garden Grove, CA 92845-1953
Phone
(714) 379-3311
Fax
(714) 379-3313
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21525 CA Primary

Addresses

Primary practice location

5241 Lampson Ave
Garden Grove, CA 92845-1953

Mailing address

5241 Lampson Ave
Garden Grove, CA 92845-1953
Phone (714) 379-3311

Other identifiers 1

IdentifierTypeStateIssuer
DC0215250OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000276 CA Practitioner - Chiropractic 2163547993 Practice locations: Garden Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5241 Lampson Ave
Garden Grove, CA 92845-1953
Phone (714) 379-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC21525CAMDChiropractor
21525CAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Blossey Chiropractic, Inc Chiropractor Current Accepting new patients
Devin Pagett Chiropractic Inc. Chiropractor PastSince Jun 16, 2024 Accepting new patients

Locations

5241 Lampson Ave
Garden Grove, CA 92845
Phone (714) 379-3311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386647451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451953",
            "telephone_number": "714-379-3311",
            "fax_number": "714-379-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451953",
            "telephone_number": "714-379-3311",
            "fax_number": "714-379-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYKER",
        "first_name": "STEVEN",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0215250",
            "state": "CA"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.