Active NPI
Robert Minoru Mori, DC
- Chiropractor
- Fountain Valley, CA
National Provider Identifier
1396807954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22414
- Practice address
- 18922 Brookhurst St
Fountain Valley, CA 92708-7306 - Phone
- (714) 378-4893
- Fax
- (714) 378-4895
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- 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 | DC22414 | CA | Primary |
Addresses
Primary practice location
18922 Brookhurst St
Fountain Valley, CA 92708-7306
Mailing address
18922 Brookhurst St
Fountain Valley, CA 92708-7306
Phone (714) 378-4893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040319001327 | CA | Practitioner - Chiropractic | 7416847579 | Practice locations: Huntington Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19171 Magnolia St
Suite 13
Huntington Beach, CA 92646-2244
Phone (714) 378-4893
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22414 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muffoletto Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Trigo Health Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Fountain Valley, CA
- NPI 1366824062
-
- Chiropractor
- Huntington Beach, CA
- NPI 1922558071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1396807954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18922 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087306",
"telephone_number": "714-378-4893",
"fax_number": "714-378-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18922 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087306",
"telephone_number": "714-378-4893",
"fax_number": "714-378-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORI",
"first_name": "ROBERT",
"middle_name": "MINORU",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22414",
"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 Mar 27, 2008; 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.