Individual provider Active NPI

John K Sawamura, D.C.

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1851403463
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 24590 Issued in CA
Practice address
421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618
Phone
(714) 774-8777
Fax
(909) 469-0069
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 24590 CA Primary

Addresses

Primary practice location

421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618

Mailing address

421 N Brookhurst St Ste 106
Anaheim, CA 92801-5618
Phone (714) 774-8777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsawamura@anaheimchiro.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325000844 CA Practitioner - Chiropractic 0244122307 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 24590CAMDChiropractor
24590CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lee Pain & Wellness Acupuncture, Inc CurrentSince Oct 23, 2022 Accepting new patients
Nne Medical Supply and Equipment, Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

421 N Brookhurst St
Ste 106
Anaheim, CA 92801
Phone (657) 201-3630

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1851403463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-774-8777",
            "fax_number": "909-469-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-774-8777",
            "fax_number": "909-469-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWAMURA",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsawamura@anaheimchiro.com",
            "affiliation": "N",
            "endpointDescription": "E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "421 N Brookhurst St Ste 106",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928015618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.