Individual provider Active NPI

Anthony Acierno, D.C.

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1679546345
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 13727 Issued in CA
Practice address
250 El Camino Real
Suite 104
Tustin, CA 92780-3655
Phone
(714) 835-2881
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 DC 13727 CA Primary

Addresses

Primary practice location

250 El Camino Real
Suite 104
Tustin, CA 92780-3655

Mailing address

25081 Reflejo
Mission Viejo, CA 92692-2722
Phone (949) 874-8036

Other identifiers 6

IdentifierTypeStateIssuer
13727OtherCAUSED WITH ALL OTHER PTOVI
DC0137270OtherCABLUE SHIELD OF CA
DC0137271OtherCABLUE SHIELD OF CA
DC0137270MedicaidCA
0667867OtherCACIGNA HEALTHCARE
DC013727OtherCABLUE CROSS OF CA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001411 CA Practitioner - Chiropractic 8820114325 Practice locations: Menifee, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26924 Corte Adelita
Menifee, CA 92585-8820
Phone (949) 874-8036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 13727CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stark Chiropractic, Inc. Chiropractor 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1679546345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25081 REFLEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926922722",
            "telephone_number": "949-874-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-835-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACIERNO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 13727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USED WITH ALL OTHER PTOVI",
            "identifier": "13727",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0137270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0137271",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0137270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "0667867",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "DC013727",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.