Individual provider Active NPI

Arthur Azcona, D.C

  • Rehabilitation Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1750614616
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
31385 Issued in CA
Practice address
2675 Irvine Ave
Suit E
Costa Mesa, CA 92627-4653
Phone
(714) 910-1478
Fax
(714) 849-6584
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 31385 CA Primary

Addresses

Primary practice location

2675 Irvine Ave
Suit E
Costa Mesa, CA 92627-4653

Mailing address

PO Box 6612
Huntington Beach, CA 92615-6612
Phone (714) 910-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31385CAMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1750614616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6612",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926156612",
            "telephone_number": "714-910-1478",
            "fax_number": "714-849-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 IRVINE AVE",
            "address_2": "SUIT E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274653",
            "telephone_number": "714-910-1478",
            "fax_number": "714-849-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZCONA",
        "first_name": "ARTHUR",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "31385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.