Active NPI
Clifford Richard Hallum, D.C.
- Chiropractor
- Fullerton, CA
National Provider Identifier
1487839346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19815
- Practice address
- 301 N Raymond Ave
Fullerton, CA 92831-3822 - Phone
- (714) 525-8767
- Fax
- (714) 525-8795
- NPI assigned
- Jan 9, 2008
- 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 | DC19815 | CA | Primary |
Addresses
Primary practice location
301 N Raymond Ave
Fullerton, CA 92831-3822
Mailing address
301 N Raymond Ave
Fullerton, CA 92831-3822
Phone (714) 525-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000282 | CA | Practitioner - Chiropractic | 4183883812 | Practice locations: Fullerton, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
301 N Raymond Ave
Fullerton, CA 92831-3822
Phone (714) 525-8767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC19815 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priscilla Chan Acupuncture | 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 and National Provider Directory roles.
-
- Point of Service
- Fullerton, CA
- NPI 1265810030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1487839346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N RAYMOND AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313822",
"telephone_number": "714-525-8767",
"fax_number": "714-525-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N RAYMOND AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313822",
"telephone_number": "714-525-8767",
"fax_number": "714-525-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLUM",
"first_name": "CLIFFORD",
"middle_name": "RICHARD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.