Active NPI
Jeffrey Allen Fisher, D.C.
- Chiropractor
- Santa Ana, CA
National Provider Identifier
1407973845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21320
- Practice address
- 1450 E 17TH St
Ste. 220
Santa Ana, CA 92705-8510 - Phone
- (714) 550-0788
- Fax
- (714) 550-6001
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 21320 | CA | Primary |
Addresses
Primary practice location
1450 E 17TH St
Ste. 220
Santa Ana, CA 92705-8510
Mailing address
1807 Newport Hills Dr E
Newport Beach, CA 92660-7114
Phone (714) 550-0788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC21320 | Other | CA | CHIROPRACTIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21320 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporate Park Wellness Center, Inc | Current | Accepting new patients | |
| Fisher Chiropractic Irvine, Inc | Chiropractor | Current | Accepting new patients |
| Fisher Chiropractic Inc | Past | Accepting new patients |
Locations
43 Corporate Park
Ste 204
Irvine, CA 92606
Phone (714) 550-0788
Organizations & group practices 3
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.
-
- Sports Medicine (Family Medicine) Physician
- Irvine, CA
- NPI 1457954224
-
- Chiropractor
- Irvine, CA
- NPI 1144053703
-
- Physical Therapist
- Irvine, CA
- NPI 1831552827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1407973845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 NEWPORT HILLS DR E",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607114",
"telephone_number": "714-550-0788",
"fax_number": "714-550-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E 17TH ST",
"address_2": "STE. 220",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058510",
"telephone_number": "714-550-0788",
"fax_number": "714-550-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC",
"identifier": "DC21320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.