Individual provider Active NPI

Brandon Jay Vanseters, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1396228789
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34041 Issued in CA
Practice address
4425 Jamboree Rd Ste 261
Newport Beach, CA 92660-3002
Phone
(949) 423-6127
NPI assigned
Sep 11, 2018
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34041 CA Primary

Addresses

Primary practice location

4425 Jamboree Rd Ste 261
Newport Beach, CA 92660-3002

Mailing address

4425 Jamboree Rd Ste 261
Newport Beach, CA 92660-3002
Phone (949) 423-6127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223002961 CA Practitioner - Chiropractic 7618312133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Murray Chiropractic PC Chiropractor CurrentSince Feb 8, 2024 Accepting new patients

Locations

2335 W Foothill Blvd
Ste 20
Upland, CA 91786
Phone (909) 982-9100

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1396228789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 261",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603002",
            "telephone_number": "949-423-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JAMBOREE RD STE 261",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603002",
            "telephone_number": "949-423-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSETERS",
        "first_name": "BRANDON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.