Neck & Back Medical Center Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NECK & BACK MEDICAL CENTER INC.

Practice address

26072 Merit Cir
119
Laguna Hills, CA 92653-7015

Phone

(949) 859-6600

Fax

(949) 859-6600

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Corey D. Gould, DCNPI 1427047067

Title

Owner

Phone

(949) 859-6600

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 8

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

• Corey D. Gould, DC

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1427047067
  Medicare reassignment Care Compare group NPD Authorized official
• Bailey T. Jewett, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1851621478
  Medicare reassignment Care Compare group NPD
• Shana Maghsoodi, PT

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1992858542
  Medicare reassignment Care Compare group NPD
• John Sims, P.T.

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1093749681
  Medicare reassignment Care Compare group NPD
• Robert Barry Sklar, M.D.

  • General Practice Physician
  • Laguna Hills, CA
  • NPI 1487611083
  Medicare reassignment Care Compare group NPD
• Robert Daniel Hidalgo Jr., MD

  • Specialist
  • Irvine, CA
  • NPI 1770576357
  Medicare reassignment NPD
• James W Brown, PT

  • Physical Therapist
  • Garden Grove, CA
  • NPI 1558328468
  NPD (past)
• Jeremy David Nelson, MPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1841436656
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1407806771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26072 MERIT CIR",
            "address_2": "119",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537015",
            "telephone_number": "949-859-6600",
            "fax_number": "949-859-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26072 MERIT CIR",
            "address_2": "119",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537015",
            "telephone_number": "949-859-6600",
            "fax_number": "949-859-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECK & BACK MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-859-6600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65340Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.