Sebastian Gonzales Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31137 Issued in CA

Legal business name

SEBASTIAN GONZALES CHIROPRACTIC INC.

Practice address

17931 Beach Blvd Ste 100
Huntington Beach, CA 92647-7113

Phone

(714) 502-4243

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sebastian Andrew Gonzales III, DCNPI 1700025574

Title

President

Phone

(714) 502-4243

Specialties & licenses 1

Addresses

Other names 2

• Orange County Pain Management Former legal business name
• P3 Sports Care Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Sebastian Andrew Gonzales III, D.C.

  • Chiropractor
  • Orange, CA
  • NPI 1700025574
  Medicare reassignment NPD Authorized official
• Amanda Leigh Wainfan, DC

  • Rehabilitation Chiropractor
  • Costa Mesa, CA
  • NPI 1780440891
  Medicare reassignment NPD
• Dawne Michelle Costantino, DC

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1851929723
  NPD
• Sara Van Dyke, DC

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1447885389
  NPD

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1407188964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 SEASTAR DR UNIT 8",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482275",
            "telephone_number": "714-502-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17931 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477113",
            "telephone_number": "714-502-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN GONZALES CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-502-4243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Pain Management",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Orange County Pain Management",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "P3 Sports Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.