Individual provider Active NPI

Justin Michael Egerer, D.C.

  • Chiropractor
  • Placentia, CA
National Provider Identifier
1649293788
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24346 Issued in CA
Practice address
1525 N Placentia Ave
Suite F
Placentia, CA 92870-2334
Phone
(714) 996-2356
Fax
(714) 996-2414
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 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 24346 CA Primary

Addresses

Primary practice location

1525 N Placentia Ave
Suite F
Placentia, CA 92870-2334

Mailing address

1525 N Placentia Ave
Suite F
Placentia, CA 92870-2334
Phone (714) 996-2356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000614 CA Practitioner - Chiropractic 4183620594 Reassigns benefits to 1 organization
Practice locations: Placentia, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1525 N Placentia Ave
Suite F
Placentia, CA 92870-2334
Phone (714) 996-2356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24346CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Egerer Chiropractic Inc Chiropractor CurrentSince Mar 11, 2024 Accepting new patients

Locations

1525 N Placentia Ave
Ste F
Placentia, CA 92870
Phone (714) 572-9555

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1649293788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N PLACENTIA AVE",
            "address_2": "SUITE F",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702334",
            "telephone_number": "714-996-2356",
            "fax_number": "714-996-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N PLACENTIA AVE",
            "address_2": "SUITE F",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702334",
            "telephone_number": "714-996-2356",
            "fax_number": "714-996-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERER",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-08",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.