Active NPI
George J Attiyah, DC
- Chiropractor
- Huntington Beach, CA
National Provider Identifier
1487415600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36793
- Practice address
- 19900 Beach Blvd Ste a
Huntington Beach, CA 92648-3762 - Phone
- (714) 965-9577
- NPI assigned
- Jan 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | DC36793 | CA | Primary |
Addresses
Primary practice location
19900 Beach Blvd Ste a
Huntington Beach, CA 92648-3762
Mailing address
701 N Gibbs St
Pomona, CA 91767-4619
Phone (626) 665-6508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19900 Beach Blvd
Suite a
Huntington Beach, CA 92648-3762
Phone (714) 965-9577
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
Locations
19900 Beach Blvd
Ste A
Huntington Beach, CA 92648
Phone (707) 631-7746
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.
-
- Chiropractor
- Huntington Beach, CA
- NPI 1770312985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1487415600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N GIBBS ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917674619",
"telephone_number": "626-665-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19900 BEACH BLVD STE A",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926483762",
"telephone_number": "714-965-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTIYAH",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-16",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.