Active NPI
Michael J Valentine, DC
- Chiropractor
- Fountain Valley, CA
National Provider Identifier
1700917531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15057
- Practice address
- 17955 Magnolia St
Fountain Valley, CA 92708-5040 - Phone
- (714) 964-9566
- Fax
- (714) 963-1726
- NPI assigned
- Mar 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15057 | CA | |
| Chiropractor | 111N00000X | DC15057 | CA | Primary |
Addresses
Primary practice location
17955 Magnolia St
Fountain Valley, CA 92708-5040
Mailing address
17955 Magnolia St
Fountain Valley, CA 92708-5040
Phone (714) 964-9566
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | valentinechiropractic.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15057 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valentine Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
17955 Magnolia St
Fountain Vly, CA 92708
Phone (714) 964-9566
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
- Fountain Valley, CA
- NPI 1548390370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1700917531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17955 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085040",
"telephone_number": "714-964-9566",
"fax_number": "714-963-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17955 MAGNOLIA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085040",
"telephone_number": "714-964-9566",
"fax_number": "714-963-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15057",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15057",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "valentinechiropractic.com",
"affiliation": "N",
"address_1": "17955 Magnolia St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927085040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.