Individual provider Active NPI

Tracy Megumi Wheelwright, DC

  • Chiropractor
  • Westminster, CA
National Provider Identifier
1558066720
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36618 Issued in CA
Practice address
14340 Bolsa Chica Rd Ste G
Westminster, CA 92683-4868
Phone
(714) 709-8030
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36618 CA Primary

Addresses

Primary practice location

14340 Bolsa Chica Rd Ste G
Westminster, CA 92683-4868

Mailing address

14340 Bolsa Chica Rd Ste G
Westminster, CA 92683-4868
Phone (714) 709-8030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230510002942 CA Practitioner - Chiropractic 1456717834 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36618CAMDChiropractor
36618CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Megumi Wheelwright Chiropractic Corporation Chiropractor Current Accepting new patients
Tracy Megumi Wheelwright Chiropractic Corporation Chiropractor CurrentSince Dec 9, 2024 Accepting new patients
Abella-Desuyo Chiropractic Chiropractor CurrentSince Apr 19, 2023 Accepting new patients
Garcia Chiropractic Inc. Chiropractor CurrentSince Apr 19, 2023 Accepting new patients

Locations

16033 Bolsa Chica St
Ste 101
Huntington Beach, CA 92649
Phone (213) 259-3044

30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675
Phone (209) 559-4498

14340 Bolsa Chica Rd
Ste G
Westminster, CA 92683
Phone (562) 795-6680

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14340 Bolsa Chica Rd
Suite G
Westminster, CA 92683-4868
Phone (714) 709-8030

14340 Bolsa Chica Rd G
Westminster, CA 92683-4868

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1558066720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE G",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834868",
            "telephone_number": "714-709-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 BOLSA CHICA RD STE G",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834868",
            "telephone_number": "714-709-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELWRIGHT",
        "first_name": "TRACY",
        "middle_name": "MEGUMI",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.

Verify at the official NPI Registry.