Ian Fitz-Gibbon

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

Legal business name

IAN FITZ-GIBBON

Practice address

1800 N Broadway
Santa Ana, CA 92706-2656

Phone

(949) 293-1610

NPI assigned

Feb 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ian Fitz-GibbonNPI 1033612197

Title

Owner

Phone

(949) 293-1610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian Fitz-Gibbon

  • Independent Medical Examiner Chiropractor
  • Vernon, CA
  • NPI 1033612197
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1528506540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 RAQUETA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603510",
            "telephone_number": "949-293-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062656",
            "telephone_number": "949-293-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN FITZ-GIBBON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "FITZ-GIBBON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-293-1610"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Chiropractor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.