Active NPI
Salvatore Peter Gasparre Jr., DC
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1801826540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21329
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21329 | CA | MD | Occupational 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.