Active NPI
Sydney Stephenson, DC
- Chiropractor
- Mission Viejo, CA
National Provider Identifier
1497448823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36695
- Practice address
- 26302 La Paz Rd Ste 213
Mission Viejo, CA 92691-5328 - Phone
- (949) 430-6001
- NPI assigned
- May 31, 2023
- Sex
- Female
- 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 | 36695 | CA | Primary |
Addresses
Primary practice location
26302 La Paz Rd Ste 213
Mission Viejo, CA 92691-5328
Mailing address
3208 Avenida del Presidente Apt T
San Clemente, CA 92672-4500
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
- Los Angeles College of Chiropractic, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
653 Camino de Los Mares
Suite 100
San Clemente, CA 92673-2808
Phone (949) 284-6620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36695 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trestles Chiropractic an Anderson Corporation | Chiropractor | Current | Accepting new patients |
| Faith Family Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
653 Camino de los Mares
Ste 100
San Clemente, CA 92673
Phone (949) 284-6620
Organizations & group practices 2
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
- San Clemente, CA
- NPI 1972051514
-
- Chiropractor
- Mission Viejo, CA
- NPI 1225499221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1497448823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 AVENIDA DEL PRESIDENTE APT T",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26302 LA PAZ RD STE 213",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915328",
"telephone_number": "949-430-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "SYDNEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.