Individual provider Active NPI

Nardeep Jawanda, D.C.

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1427164136
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27989 Issued in CA
Practice address
22762 Aspan St Ste 205
Lake Forest, CA 92630-1604
Phone
(323) 909-2225
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27989 CA Primary

Addresses

Primary practice location

22762 Aspan St Ste 205
Lake Forest, CA 92630-1604

Mailing address

22762 Aspan St Ste 205
Lake Forest, CA 92630-1604
Phone (323) 909-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219002433 CA Practitioner - Chiropractic 0749561363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22762 Aspan St
Suite 205
Lake Forest, CA 92630-1604
Phone (323) 909-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27989CAMDPsychologist
DC27989CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nardeep Jawanda, Chiropractic Corporation Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

22762 Aspan St
Ste 205
Lake Forest, CA 92630
Phone (323) 909-2225

23695 Birtcher Dr
Lake Forest, CA 92630
Phone (949) 586-8525

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1427164136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST STE 205",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "323-909-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST STE 205",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "323-909-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWANDA",
        "first_name": "NARDEEP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.

Verify at the official NPI Registry.