Individual provider Active NPI

Mark A. Newman, D.C.

  • Rehabilitation Chiropractor
  • Anaheim, CA
National Provider Identifier
1538221932
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC 27825 Issued in CA
Practice address
1125 N Magnolia Ave
Suite 120
Anaheim, CA 92801-2638
Phone
(714) 220-0520
Fax
(714) 220-0582
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC 27825 CA Primary

Addresses

Primary practice location

1125 N Magnolia Ave
Suite 120
Anaheim, CA 92801-2638

Mailing address

1125 N Magnolia Ave
Suite 120
Anaheim, CA 92801-2638
Phone (714) 220-0520

Other identifiers 1

IdentifierTypeStateIssuer
203898700OtherCAOWCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221214001470 CA Practitioner - Chiropractic 3971985011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 27825CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Unlimited Corporation Past Accepting new patients
Alliance Physical Therapy Inc PastSince Sep 6, 2020 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1538221932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N MAGNOLIA AVE",
            "address_2": "SUITE 120",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012638",
            "telephone_number": "714-220-0520",
            "fax_number": "714-220-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N MAGNOLIA AVE",
            "address_2": "SUITE 120",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012638",
            "telephone_number": "714-220-0520",
            "fax_number": "714-220-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC 27825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "203898700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.