Mary Vendetta Vendetta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22881 Issued in CA

Practice address

1905 Fullerton Ave, #a
Costa Mesa, CA 92627-2277

Phone

(949) 548-5800

Fax

(949) 548-5803

NPI assigned

Dec 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vendetta Chiropractic Corp.

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1912028663
  NPD Authorized official
• Westminister Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
  • NPI 1932367232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1710216643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4298",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926284298",
            "telephone_number": "949-548-5800",
            "fax_number": "949-548-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 FULLERTON AVE, #A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272277",
            "telephone_number": "949-548-5800",
            "fax_number": "949-548-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDETTA",
        "first_name": "MARY",
        "middle_name": "VENDETTA",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Olivia Velasquez, MFT
• Ana L Velazquez
• Yumilka Velazquez
• Emanuel Veliz Gonzalez, AA PSYCHOLOGY
• Vendetta Chiropractic Corp.
• Kirstyn H Ventura
• Bridget Guadalupe Vera
• Gaby Vera
• Luis Vera
• Bogart Isaac Verduzco

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.