Active NPI
James Matthew Vangrinsven, D.C.
- Chiropractor
- Newhall, CA
National Provider Identifier
1750401089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC19638 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulevard Medical Group, Inc. | Current | Accepting new patients | |
| La Health & Wellness Medical Group | Past | Accepting new patients |
Locations
11239 Ventura Blvd
Ste 213
Studio City, CA 91604
Phone (818) 505-0152
Interoperability endpoints
- 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.
-
dba Prohealth Physical Medicine
- Physical Medicine & Rehabilitation Physician
- Studio City, CA
- NPI 1437551033
-
- General Practice Physician
- Studio City, CA
- NPI 1790094555
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
- Valencia Neurology Medical Group Inc
- Valencia Pulmonary Medical Group Inc.
- Valley Infections Disease Medical Group Inc a Medical Corporation
- Valley Institute of Prosthetics & Orthotics, Inc
- Andrea Van Deventer, BCBA
- Samantha Veil
- Fabiana Vela
- Christopher Michael Velez II, N.P.
- Azucena Velis
- Vera Home Healthcare Inc
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.