Individual provider Active NPI

Nesrein Sweidan, D.C.

  • Sports Physician Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1790095016
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
31779 Issued in CA
Practice address
16331 Gothard St Ste D
Huntington Beach, CA 92647-3664
Phone
(714) 916-1423
Fax
(714) 982-2181
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 31779 CA Primary

Addresses

Primary practice location

16331 Gothard St Ste D
Huntington Beach, CA 92647-3664

Mailing address

16331 Gothard St Ste D
Huntington Beach, CA 92647-3664
Phone (714) 916-1423

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
31779CAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1790095016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16331 GOTHARD ST STE D",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473664",
            "telephone_number": "714-916-1423",
            "fax_number": "714-982-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 GOTHARD ST STE D",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473664",
            "telephone_number": "714-916-1423",
            "fax_number": "714-982-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEIDAN",
        "first_name": "NESREIN",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "31779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.