Individual provider Active NPI

James Matthew Vangrinsven, D.C.

  • Chiropractor
  • Newhall, CA
National Provider Identifier
1750401089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19638 Issued in CA
Practice address
22777 Lyons Ave
Suite 105
Newhall, CA 91321-2849
Phone
(661) 254-3223
Fax
(661) 254-3224
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19638 CA Primary

Addresses

Primary practice location

22777 Lyons Ave
Suite 105
Newhall, CA 91321-2849

Mailing address

22777 Lyons Ave
Suite 105
Newhall, CA 91321-2849
Phone (661) 254-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629002308 CA Practitioner - Chiropractic 1456607647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC19638CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boulevard Medical Group, Inc. CurrentSince May 12, 2018 Accepting new patients
La Health & Wellness Medical Group PastSince May 12, 2018 Accepting new patients

Locations

11239 Ventura Blvd
Ste 213
Studio City, CA 91604
Phone (818) 505-0152

Interoperability endpoints

  • Direct secure messaging: james.vangrinsvendc.p1@direct.jwch.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750401089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 LYONS AVE",
            "address_2": "SUITE 105",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212849",
            "telephone_number": "661-254-3223",
            "fax_number": "661-254-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 LYONS AVE",
            "address_2": "SUITE 105",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212849",
            "telephone_number": "661-254-3223",
            "fax_number": "661-254-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGRINSVEN",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.