South Coast Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17203 Issued in CA

Legal business name

SOUTH COAST REHABILITATION CENTER

Practice address

1650 Adams Ave
Costa Mesa, CA 92626-4958

Phone

(714) 549-6500

NPI assigned

Nov 5, 2008

Organization subpart

Yes

Parent organization

GRIFFIN MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Alan Glover

Title

It Director

Phone

(714) 549-6500

Specialties & licenses 1

Addresses

Part of

Griffin Medical Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Griffin Medical Group

  • Specialist
  • Costa Mesa, CA
  • NPI 1134259468
  NPPES parent name

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1639323520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ADAMS AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264958",
            "telephone_number": "714-549-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ADAMS AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264958",
            "telephone_number": "714-549-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRIFFIN MEDICAL GROUP",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "714-549-6500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Behavioral Health
• South Coast Behavioral Health Guesthouse Incorporation
• South Coast Children's Society, Inc (Hope Healing Connection)
• South Coast Children's Society, Inc. (South Coast Community Services)
• South Coast Counseling, Inc.
• South Coast Specialty Surgery Center, Inc.
• South Coast Surgical Care, Inc.
• South Coast Traverse
• South West Health Chiropractic Center Inc
• South West Health Radiology, Inc.

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.