Matthew David Costantino, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

21279 Issued in CA

Practice address

1100 Pacific Coast Hwy
Suite a
Hermosa Beach, CA 90254-3921

Phone

(310) 798-3227

Fax

(310) 798-3229

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Los Angeles College of Chiropractic, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Costantino Chiropractic Corporation

  dba Health Source Chiropractic

  • Chiropractor
  • Hermosa Beach, CA
  • NPI 1073871547
  Medicare reassignment NPD Authorized official
• Costantino Chiropractic Corporation

  • Chiropractor
  • Hermosa Beach, CA
  • NPI 1992246078
  NPD Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447463096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PACIFIC COAST HWY",
            "address_2": "SUITE A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543921",
            "telephone_number": "310-798-3227",
            "fax_number": "310-798-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PACIFIC COAST HWY",
            "address_2": "SUITE A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543921",
            "telephone_number": "310-798-3227",
            "fax_number": "310-798-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANTINO",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "21279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Cooper, M.D.
• Tristan Coopersmith, MFT
• Salvatore Cosentino
• Costantino Chiropractic Corporation (Health Source Chiropractic)
• Costantino Chiropractic Corporation
• Sharon Coulter, MFT
• Courtney Hamlin Counseling, Inc.
• Elizabeth Ellen Cowart, MD
• Debra A Cucci, MA MFT
• Cynthia G. Macdougall, Rdhap, Inc (Tom Gum Dental Hygiene)

• Rehabilitation Chiropractor in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.