Active NPI
Anthony Acierno, D.C.
- Chiropractor
- Tustin, CA
National Provider Identifier
1679546345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 13727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13727 | Other | CA | USED WITH ALL OTHER PTOVI |
| DC0137270 | Other | CA | BLUE SHIELD OF CA |
| DC0137271 | Other | CA | BLUE SHIELD OF CA |
| DC0137270 | Medicaid | CA | |
| 0667867 | Other | CA | CIGNA HEALTHCARE |
| DC013727 | Other | CA | BLUE CROSS OF CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC 13727 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Tustin, CA
- NPI 1306040001
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.