Individual provider Active NPI

Stephanie Saito Tyson, DC

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1609277235
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31238 Issued in CA
Practice address
30270 Rancho Viejo Rd
Suite G
San Juan Capistrano, CA 92675-1556
Phone
(949) 545-6116
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31238 CA Primary

Addresses

Primary practice location

30270 Rancho Viejo Rd
Suite G
San Juan Capistrano, CA 92675-1556

Mailing address

30270 Rancho Viejo Rd
Suite G
San Juan Capistrano, CA 92675-1556
Phone (949) 545-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31238CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Wellness Clinic Inc Past Accepting new patients

Organizations & group practices 1

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1609277235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30270 RANCHO VIEJO RD",
            "address_2": "SUITE G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751556",
            "telephone_number": "949-545-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30270 RANCHO VIEJO RD",
            "address_2": "SUITE G",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751556",
            "telephone_number": "949-545-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAITO TYSON",
        "first_name": "STEPHANIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.