Individual provider Active NPI

Victoria Marie Vodon, D.C.

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1598843062
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA14795 Issued in CA
Practice address
3400 Irvine Ave Ste 109
Newport Beach, CA 92660-3127
Phone
(714) 658-3112
Fax
(949) 688-6806
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA14795 CA Primary

Addresses

Primary practice location

3400 Irvine Ave Ste 109
Newport Beach, CA 92660-3127

Mailing address

3400 Irvine Ave Ste 109
Newport Beach, CA 92660-3127
Phone (714) 658-3112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000305 CA Practitioner - Chiropractic 9335287226 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Irvine Ave
Suite 109
Newport Beach, CA 92660-3127
Phone (714) 658-3112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA14795CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1598843062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 IRVINE AVE STE 109",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603127",
            "telephone_number": "714-658-3112",
            "fax_number": "949-688-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 IRVINE AVE STE 109",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603127",
            "telephone_number": "714-658-3112",
            "fax_number": "949-688-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODON",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA14795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.