Individual provider Active NPI

Tyler Jones, DC

  • Rehabilitation Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1831614379
Registry record updated Aug 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
33985 Issued in CA
Practice address
25255 Cabot Rd Ste 110
Laguna Hills, CA 92653-5507
Phone
(949) 380-7215
NPI assigned
Aug 5, 2017
Last updated
Aug 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33985 CA
Occupational Health Chiropractor 111NX0100X 33985 CA
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 33985 CA Primary

Addresses

Primary practice location

25255 Cabot Rd Ste 110
Laguna Hills, CA 92653-5507

Mailing address

25255 Cabot Rd Ste 110
Laguna Hills, CA 92653-5507
Phone (949) 380-7215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000352 CA Practitioner - Chiropractic 0244644672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Physical Medicine and Rehabilitation IncGroup PAC ID 7618381187, 6 clinicians

Practice addresses (Care Compare)

17264 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 650-1228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33985CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Physical Medicine and Rehabilitation Inc. Single Specialty CurrentSince Oct 22, 2020 Accepting new patients
Rosenfeld Chiropractic Corp Chiropractor Past Accepting new patients

Locations

17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501891200000",
    "number": "1831614379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535507",
            "telephone_number": "949-380-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535507",
            "telephone_number": "949-380-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-05",
        "last_updated": "2017-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33985",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "33985",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2017; 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.