Individual provider Active NPI

Salvatore Peter Gasparre Jr., DC

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1801826540
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21329 Issued in CA
Practice address
1755 Orange Ave Ste a
Costa Mesa, CA 92627-3130
Phone
(949) 631-0151
Fax
(949) 631-0153
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21329 CA Primary

Addresses

Primary practice location

1755 Orange Ave Ste a
Costa Mesa, CA 92627-3130

Mailing address

1755 Orange Ave Ste a
Costa Mesa, CA 92627-3130
Phone (949) 631-0151

Other names 1

  • Dr. Salvatore Peter Gasparre Jr. Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001196 CA Practitioner - Chiropractic 3072531169 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 Orange Ave
Suite a
Costa Mesa, CA 92627-3130
Phone (949) 631-0151

1755 Orange Ave a
Costa Mesa, CA 92627-3130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21329CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801826540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 ORANGE AVE STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273130",
            "telephone_number": "949-631-0151",
            "fax_number": "949-631-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 ORANGE AVE STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273130",
            "telephone_number": "949-631-0151",
            "fax_number": "949-631-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARRE",
        "first_name": "SALVATORE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALVATORE",
            "last_name": "GASPARRE",
            "middle_name": "PETER",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 9, 2007; 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.