Individual provider Active NPI

Nicholas Deliberato, DC

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1467942573
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33796 Issued in CA
Practice address
22706 Aspan St Ste 702
Lake Forest, CA 92630-1641
Phone
(949) 385-3093
NPI assigned
May 14, 2018
Last updated
May 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33796 CA Primary

Addresses

Primary practice location

22706 Aspan St Ste 702
Lake Forest, CA 92630-1641

Mailing address

22706 Aspan St Ste 702
Lake Forest, CA 92630-1641
Phone (949) 385-3093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226001561 CA Practitioner - Chiropractic 3678818481 Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Joint Clinic of Orange County Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1467942573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST STE 702",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301641",
            "telephone_number": "949-385-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22706 ASPAN ST STE 702",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301641",
            "telephone_number": "949-385-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIBERATO",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33796",
            "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 May 14, 2018; 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.