Individual provider Active NPI

Craig Allan Stutzman, D.C.

  • Chiropractor
  • Laguna Niguel, CA
National Provider Identifier
1801910179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25811 Issued in CA
Practice address
28940 Golden Lantern
I
Laguna Niguel, CA 92677-1500
Phone
(949) 495-8200
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC25811 CA Primary

Addresses

Primary practice location

28940 Golden Lantern
I
Laguna Niguel, CA 92677-1500

Mailing address

28940 Golden Lantern
I
Laguna Niguel, CA 92677-1500
Phone (949) 495-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000902 CA Practitioner - Chiropractic 6406805316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23695 Birtcher Dr
Lake Forest, CA 92630-1782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25811CAMDClinical Psychologist
DC25811CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craig a Stutzman Chiropractic Corporation Chiropractor CurrentSince Feb 1, 2017 Accepting new patients
Craig a Stutzman Chiropractic Corp Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

23695 Birtcher Dr
Ste A
Lake Forest, CA 92630
Phone (949) 586-8525

23695 Birtcher Dr
Ste B
Lake Forest, CA 92630

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801910179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28940 GOLDEN LANTERN",
            "address_2": "I",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771500",
            "telephone_number": "949-495-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28940 GOLDEN LANTERN",
            "address_2": "I",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771500",
            "telephone_number": "949-495-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "CRAIG",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.