Individual provider Active NPI

Mike James Digrado, D.C.

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1679729552
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28885 Issued in CA
Practice address
363 San Miguel Dr Ste 191
Newport Beach, CA 92660-7898
Phone
(949) 640-1470
NPI assigned
Aug 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28885 CA Primary

Addresses

Primary practice location

363 San Miguel Dr Ste 191
Newport Beach, CA 92660-7898

Mailing address

363 San Miguel Dr Ste 191
Newport Beach, CA 92660-7898
Phone (949) 640-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28885CAMDChiropractor
28885CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Digrado, Newport Center Family Chiropractic Chiropractor PastSince Dec 1, 2009 Accepting new patients
Digrado Newport Center Family Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1679729552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 SAN MIGUEL DR STE 191",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607898",
            "telephone_number": "949-640-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SAN MIGUEL DR STE 191",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607898",
            "telephone_number": "949-640-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGRADO",
        "first_name": "MIKE",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.