Active NPI
Alex James Vanderschelden, D.C.
- Chiropractor
- San Juan Capistrano, CA
National Provider Identifier
1487132551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33856
- Practice address
- 36461 Rancho Viejo Rd. Suiete 103
Suite 103
San Juan Capistrano, CA 92675 - Phone
- (949) 388-1432
- NPI assigned
- Aug 1, 2018
- Last updated
- Aug 1, 2018
- 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 | 33856 | CA | Primary |
Addresses
Primary practice location
36461 Rancho Viejo Rd. Suiete 103
Suite 103
San Juan Capistrano, CA 92675
Mailing address
36461 Rancho Viejo Rd. Suite 103
Suite 103
San Juan Capistrano, CA 92675
Phone (949) 388-1432
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33856 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderschelden Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
1601 Dove St
Ste 190
Newport Beach, CA 92660
Phone (714) 713-4531
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.
-
- Chiropractor
- Newport Beach, CA
- NPI 1447906284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1487132551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36461 RANCHO VIEJO RD. SUITE 103",
"address_2": "SUITE 103",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-388-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36461 RANCHO VIEJO RD. SUIETE 103",
"address_2": "SUITE 103",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-388-1432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERSCHELDEN",
"first_name": "ALEX",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.