Active NPI
Fisher Chiropractic, Inc.
- Rehabilitation Chiropractor
- Irvine, CA
National Provider Identifier
1760509822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC21320
- Legal business name
- FISHER CHIROPRACTIC, INC.
- Practice address
- 43 Corporate Park Ste 204
204
Irvine, CA 92606-5137 - Phone
- (714) 550-0788
- Fax
- (714) 550-6001
- NPI assigned
- Mar 23, 2007
- Last updated
- Mar 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeff Allen Fisher, D.C.
- Title
- Owner
- Phone
- (714) 550-0788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC21320 | CA | Primary |
Addresses
Primary practice location
43 Corporate Park Ste 204
204
Irvine, CA 92606-5137
Mailing address
43 Corporate Park Ste 204
Irvine, CA 92606-5137
Phone (714) 550-0788
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528089182 | Other | CA | PT-28250 |
| OT5117CA | Other | CA | OCCUPATIONAL THERAPIST |
| PT15475 | Other | CA | PHYSICAL THERAPY LIC. |
| DC21320 | Other | CA | CHIROPRACTIC CORP. |
National Provider Directory
National Provider DirectoryLocations
3100 S Harbor Blvd
Ste 120
Santa Ana, CA 92704
Phone (714) 550-0788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1760509822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CORPORATE PARK STE 204",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065137",
"telephone_number": "714-550-0788",
"fax_number": "714-550-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CORPORATE PARK STE 204",
"address_2": "204",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065137",
"telephone_number": "714-550-0788",
"fax_number": "714-550-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FISHER CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "JEFF",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-550-0788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC21320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT-28250",
"identifier": "1528089182",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT5117CA",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LIC.",
"identifier": "PT15475",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC CORP.",
"identifier": "DC21320",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.