Paul Ceif Petty, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17260 Issued in CA

Practice address

1530 Baker St Ste G
Costa Mesa, CA 92626-3752

Phone

(714) 435-1996

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1730363003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST STE G",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-435-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BAKER ST STE G",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263752",
            "telephone_number": "714-435-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "PAUL",
        "middle_name": "CEIF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lynn Peters-Kammeraad, L.C.S.W., NCPSYA
• Stacy Anne Petersen, FNP-C
• Susan Petersen, M.P.T
• Corey Peterson, DC
• Emily Pettis, APRN
• Marjorie Ann Pezzoli
• Ann Pham
• Cecilia T Pham, DO
• Connie Pham, DO
• David Pham

• 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 Dec 21, 2007; 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.