Active NPI
Steven Jon Costales, D.C., M.S., A.T.C.
- Chiropractor
- Laguna Hills, CA
National Provider Identifier
1689830135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27735
- Practice address
- 24741 Alicia Pkwy Ste D
Laguna Hills, CA 92653-4613 - Phone
- (949) 951-1160
- Fax
- (949) 951-1107
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 | DC27735 | CA | Primary |
Addresses
Primary practice location
24741 Alicia Pkwy Ste D
Laguna Hills, CA 92653-4613
Mailing address
24741 Alicia Pkwy Ste D
Laguna Hills, CA 92653-4613
Phone (949) 951-1160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDC27735A | Other | CA | MEDICARE PTAN |
| 202613906 | Other | CA | GROUP NPI |
| W18889 | Other | CA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24741 Alicia Pkwy
Suite D
Laguna Hills, CA 92653-4613
Phone (949) 951-1160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27735 | CA | MD | Clinical Psychologist |
| DC27735 | CA | MD | Chiropractor |
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.
-
- Chiropractor
- Laguna Hills, CA
- NPI 1013998764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1689830135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24741 ALICIA PKWY STE D",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534613",
"telephone_number": "949-951-1160",
"fax_number": "949-951-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24741 ALICIA PKWY STE D",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534613",
"telephone_number": "949-951-1160",
"fax_number": "949-951-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTALES",
"first_name": "STEVEN",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "D.C., M.S., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WDC27735A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "202613906",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "W18889",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.