Individual provider Active NPI

Grant Josef Soloway, DC

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1659081966
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36462 Issued in CA
Practice address
3188 Airway Ave Ste H
Costa Mesa, CA 92626-4652
Phone
(714) 432-7777
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36462 CA Primary

Addresses

Primary practice location

3188 Airway Ave Ste H
Costa Mesa, CA 92626-4652

Mailing address

1921 S Union St Unit 4042
Anaheim, CA 92805-6771
Phone (714) 270-0639

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://solochiro.com/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231224000083 CA Practitioner - Chiropractic 7911357496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36462CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Soloway'S Oc Chiropractic Corporation Chiropractor CurrentSince Oct 21, 2023 Accepting new patients

Locations

3188 Airway Ave
Ste H
Costa Mesa, CA 92626
Phone (714) 432-7777

2661 W Whittier Blvd
Ste A
La Habra, CA 90631
Phone (562) 715-6337

2832 E Chapman Ave
Orange, CA 92869
Phone (714) 532-2827

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1659081966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S UNION ST UNIT 4042",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056771",
            "telephone_number": "714-270-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 AIRWAY AVE STE H",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264652",
            "telephone_number": "714-432-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOWAY",
        "first_name": "GRANT",
        "middle_name": "JOSEF",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://solochiro.com/",
            "affiliation": "N",
            "address_1": "3188 Airway Ave Ste H",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926264652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.