Beach Wellness Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BEACH WELLNESS CHIROPRACTIC INC.

Doing business as

Lincoln Chiropractic

Practice address

2211 E Lincoln Ave
Anaheim, CA 92806-4108

Phone

(714) 774-2455

NPI assigned

Dec 26, 2023

Organization subpart

No

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

Authorized official

Name

Jorge Luis Perez, DCNPI 1932670049

Title

Chiropractor/Owner

Phone

(714) 851-2074

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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.

• Jorge Luis Perez, D.C.

  • Chiropractor
  • Anaheim, CA
  • NPI 1932670049
  Medicare reassignment Authorized official
• Joe Roy Rivera, DC

  • Independent Medical Examiner Chiropractor
  • Santa Fe Springs, CA
  • NPI 1558231209
  NPD
• Tatiana Scott

  • Massage Therapist
  • Anaheim, CA
  • NPI 1902621824
  NPD
• Sanford I Morita, DC

  • Chiropractor
  • Anaheim, CA
  • NPI 1629089321
  NPD (past)
• Jeffrey B Nowicki, DC

  • Chiropractor
  • Anaheim, CA
  • NPI 1063423739
  NPD (past)
• Cole Reschke, D.C.

  • Chiropractor
  • Anaheim, CA
  • NPI 1558700328
  NPD (past)
• George Ryan Blackman, D.C.

  • Chiropractor
  • Niceville, FL
  • NPI 1346693439
  NPD (past)

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1851160444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 56TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054603",
            "telephone_number": "714-851-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064108",
            "telephone_number": "714-774-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH WELLNESS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "714-851-2074",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yusuf Bayindir
• Sherry Baylon
• BC Professional Nursing Corporation
• Hing M Be, D.O.
• Beach Dental
• Beau McKenzie Soares D.D.S., Inc
• Allison Beauchamp
• Beauty Professionals Surgery Center, Inc.
• Beavans Medical
• Beavans Medical, Inc. (Beavans Medical)

• Chiropractor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.