Orange County Mission Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

28104 Issued in CA

Legal business name

ORANGE COUNTY MISSION CHIROPRACTIC

Practice address

13422 Newport Ave Ste G
Tustin, CA 92780-3746

Phone

(714) 731-7772

Fax

(714) 884-3644

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Greg S Kim, DCNPI 1457543910

Title

Owner

Phone

(714) 731-7772

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg S Kim, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1457543910
  NPD (past) Authorized official
• Sergio Alejandro Candelas Martinez, DC

  • Chiropractor
  • Tustin, CA
  • NPI 1184241341
  NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720500408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 NEWPORT AVE STE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803746",
            "telephone_number": "714-731-7772",
            "fax_number": "714-884-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 NEWPORT AVE STE G",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803746",
            "telephone_number": "714-731-7772",
            "fax_number": "714-884-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY MISSION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-731-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28104",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "28104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opus Wellness Acupuncture Inc
• Orange County Counseling Licensed Clinical Social Worker Prof Corp (OCC LCSW Prof Corp)
• Orange County Foot & Ankle Group, Inc.
• Orange County Heart & Vascular Inc
• Orange County Hospice, LLC (OC Hospice)
• Orange County Psychotherapy Associates, Inc.
• Orange County Senior Care, Inc
• Orangevale Associates Inc. (Tustin Hills DDN)
• Orangewind Inc (acupuncture and herb)
• Kayla Anne Orate

• Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.