Active NPI
Sebastian Andrew Gonzales III, D.C.
- Chiropractor
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31137
- Practice address
- 514 W Katella Ave
Orange, CA 92867 - Phone
- (714) 392-6482
- NPI assigned
- Feb 18, 2009
- 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 | 31137 | CA | Primary |
Addresses
Primary practice location
514 W Katella Ave
Orange, CA 92867
Mailing address
1525 Mesa Verde Dr E
Ste 108
Costa Mesa, CA 92626-5221
Phone (714) 502-4243
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
- Los Angeles College of Chiropractic, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1525 Mesa Verde Dr E
Suite 108
Costa Mesa, CA 92626-5221
Phone (714) 502-4243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31137 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Van Dyke Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Sebastian Gonzales Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
1525 Mesa Verde Dr E
Ste 108
Costa Mesa, CA 92626
Phone (714) 299-1192
514 W Katella Ave
Orange, CA 92867
Phone (714) 563-8478
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Huntington Beach, CA
- NPI 1407188964
-
- Chiropractor
- Costa Mesa, CA
- NPI 1326734484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1700025574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 MESA VERDE DR E",
"address_2": "STE 108",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265221",
"telephone_number": "714-502-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 W KATELLA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "92867",
"telephone_number": "714-392-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "SEBASTIAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-18",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.