Individual provider Active NPI

Shayla Hartz

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1760292338
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36883 Issued in CA
Practice address
32909 Temecula Pkwy Ste 106
Temecula, CA 92592-6907
Phone
(951) 216-3739
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36883 CA Primary

Addresses

Primary practice location

32909 Temecula Pkwy Ste 106
Temecula, CA 92592-6907

Mailing address

835 Seagull LN Apt CS-302
Newport Beach, CA 92663-6041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002561 CA Practitioner - Chiropractic 9739685876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
100 Chiropractic Grant LN IncGroup PAC ID 8729583828, 2 clinicians

Practice addresses (Care Compare)

30301 Golden Lantern
Suite C
Laguna Niguel, CA 92677-5990
Phone (949) 994-9905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36883CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiropractic Punghorst, Inc Chiropractor CurrentSince Jan 12, 2025 Accepting new patients
100 Chiropractic Grant LN Inc Chiropractor CurrentSince Aug 14, 2025 Accepting new patients

Locations

30301 Golden Lantern
Ste C
Laguna Niguel, CA 92677
Phone (949) 994-9905

32909 Temecula Pkwy
Ste 106
Temecula, CA 92592
Phone (951) 216-3729

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1760292338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SEAGULL LN APT CS-302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32909 TEMECULA PKWY STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926907",
            "telephone_number": "951-216-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZ",
        "first_name": "SHAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.