Active NPI
Sergio Vielma, D.C.
- Chiropractor
- Laguna Hills, CA
National Provider Identifier
1487927430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29704
- Practice address
- 25292 McIntyre St
C2
Laguna Hills, CA 92653-5434 - Phone
- (949) 716-2223
- NPI assigned
- Feb 21, 2012
- 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 | DC29704 | CA | Primary |
Addresses
Primary practice location
25292 McIntyre St
C2
Laguna Hills, CA 92653-5434
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
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 |
|---|---|---|---|
| DC29704 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1487927430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25292 MCINTYRE ST",
"address_2": "C2",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535434",
"telephone_number": "949-716-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIELMA",
"first_name": "SERGIO",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.