Individual provider Active NPI

Chance Kizungu

  • Rehabilitation Practitioner
  • Costa Mesa, CA
National Provider Identifier
1821992645
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
F4717696 Issued in CA
Practice address
985 Victoria St # Ca
Costa Mesa, CA 92627-4067
Phone
(949) 656-2433
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X F4717696 CA Primary

Addresses

Primary practice location

985 Victoria St # Ca
Costa Mesa, CA 92627-4067

Mailing address

985 Victoria St # Ca
Costa Mesa, CA 92627-4067
Phone (949) 656-2433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1821992645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 VICTORIA ST # CA",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274067",
            "telephone_number": "949-656-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 VICTORIA ST # CA",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274067",
            "telephone_number": "949-656-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZUNGU",
        "first_name": "CHANCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "F4717696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.