Organization Active NPI

Digrado, Newport Center Family Chiropractic

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1407104409
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28885 Issued in CA
Legal business name
DIGRADO, NEWPORT CENTER FAMILY CHIROPRACTIC
Practice address
359 San Miguel Dr Ste 203
Newport Beach, CA 92660-7808
Phone
(949) 640-1470
Fax
(949) 640-1472
NPI assigned
Aug 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Authorized official

Name
Michael James Digrado, D.C.
Title
Chiropractor
Phone
(949) 640-1470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC28885 CA Primary

Addresses

Primary practice location

359 San Miguel Dr Ste 203
Newport Beach, CA 92660-7808

Mailing address

359 San Miguel Dr Ste 203
Newport Beach, CA 92660-7808
Phone (949) 640-1470

Other identifiers 1

IdentifierTypeStateIssuer
1679729552OtherCANATIONAL PROVIDER IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

Locations

359 San Miguel Dr
Ste 203
Newport Beach, CA 92660
Phone (949) 640-1470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1407104409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR STE 203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607808",
            "telephone_number": "949-640-1470",
            "fax_number": "949-640-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR STE 203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607808",
            "telephone_number": "949-640-1470",
            "fax_number": "949-640-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGRADO, NEWPORT CENTER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "DIGRADO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "949-640-1470",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1679729552",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.