NPIMap

Organization Active NPI

Paalani Chiropratic Inc.

Doing business as Agape Wellness Center

  • Rehabilitation Chiropractor
  • Santa Ana, CA
National Provider Identifier
1801944137
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC26791 Issued in CA
Legal business name
PAALANI CHIROPRATIC INC.
Doing business as
Agape Wellness Center
Practice address
1182 SE Bristol St
Santa Ana, CA 92707-5302
Phone
(714) 957-6889
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jennifer K. Paalani, D.C.NPI 1669520904
Title
Chiropractor
Phone
(714) 957-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC26791 CA Primary

Addresses

Primary practice location

1182 SE Bristol St
Santa Ana, CA 92707-5302

Mailing address

PO Box 10672
Costa Mesa, CA 92627-0217
Phone (714) 957-6889

Other names 1

  • Agape Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000626 CA Part B Supplier - Clinic/Group Practice 5294831608 Receives reassigned benefits from 3 practitioners
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801944137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10672",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926270217",
            "telephone_number": "714-957-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 SE BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075302",
            "telephone_number": "714-957-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAALANI CHIROPRATIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAALANI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "714-957-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC26791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.