Organization Active NPI

Youdeem Chiropractic Corporation

  • Clinic/Center
  • Cypress, CA
National Provider Identifier
1477733517
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YOUDEEM CHIROPRACTIC CORPORATION
Practice address
9922 Walker St Ste G
Cypress, CA 90630-3097
Phone
(714) 527-7463
NPI assigned
Nov 6, 2007
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Gilbert Youdeem, D.C.NPI 1326070830
Title
President
Phone
(714) 527-7463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

9922 Walker St Ste G
Cypress, CA 90630-3097

Mailing address

9922 Walker St Ste G
Cypress, CA 90630-3097
Phone (714) 527-7463

Other names 1

  • Youdeem Chiropractic Corp Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000585 CA Part B Supplier - Clinic/Group Practice 0749212173 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, CA

National Provider Directory

National Provider Directory

Locations

4021 Orange Ave
Cypress, CA 90630
Phone (562) 283-8223

9919 Walker St
Cypress, CA 90630
Phone (714) 527-7463

9922 Walker St
Ste G
Cypress, CA 90630
Phone (714) 220-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1477733517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 WALKER ST STE G",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303097",
            "telephone_number": "714-527-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 WALKER ST STE G",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303097",
            "telephone_number": "714-527-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUDEEM CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "YOUDEEM",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-527-7463",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youdeem Chiropractic Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.