Individual provider Active NPI

Jennifer K. Paalani, D.C.

  • Rehabilitation Chiropractor
  • Santa Ana, CA
National Provider Identifier
1669520904
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC26791 Issued in CA
Practice address
1182 SE Bristol St
Santa Ana, CA 92707-5302
Phone
(714) 957-6889
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC26791 CA Primary

Addresses

Primary practice location

1182 SE Bristol St
Santa Ana, CA 92707-5302

Mailing address

PO Box 10672
Costa Mesa, CA 92627-0217
Phone (714) 957-6889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000489 CA Practitioner - Chiropractic 5597750653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26791CAMDClinical Social Worker
DC26791CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Samimi Orthopedic Group, Inc. PastSince Mar 1, 2021 Accepting new patients
Slusher Chiropractic Life Center Inc. Rehabilitation Past Accepting new patients

Organizations & group practices 3

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669520904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10672",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270217",
            "telephone_number": "714-957-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 SE BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075302",
            "telephone_number": "714-957-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAALANI",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC26791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.