Individual provider Active NPI

Jordan Vega, DC

  • Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1801653639
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36858 Issued in CA
Practice address
18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346
Phone
(714) 913-3310
NPI assigned
Feb 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36858 CA Primary

Addresses

Primary practice location

18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346

Mailing address

430 Obispo Ave Apt 207
Long Beach, CA 90814-8600
Phone (562) 685-3195

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Beyond Foundation Chiropractor CurrentSince Mar 3, 2024 Accepting new patients
Pain Stress Anxiety Acupuncture Professional Corp CurrentSince Apr 14, 2024 Accepting new patients

Locations

18351 Beach Blvd
Ste B
Huntington Beach, CA 92648
Phone (714) 913-3310

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1801653639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OBISPO AVE APT 207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908148600",
            "telephone_number": "562-685-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481346",
            "telephone_number": "714-913-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36858",
            "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 Feb 28, 2024; 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.