Alyssa Price, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36587 Issued in CA

Practice address

23101 Lake Center Dr Ste 110
Lake Forest, CA 92630-2882

Phone

(949) 586-2731

Fax

(949) 586-2745

NPI assigned

Jun 14, 2023

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jordan DC Greenlight Chiropractic Lake Forest Ca PC

  dba Greenlight Chiropractic & Wellness Lab

  • Pediatric Chiropractor
  • Lake Forest, CA
  • NPI 1063295392
  Medicare reassignment NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1861176414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302882",
            "telephone_number": "949-586-2731",
            "fax_number": "949-586-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302882",
            "telephone_number": "949-586-2731",
            "fax_number": "949-586-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ALYSSA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Pourbabak, MD
• Monica Marie Powers, PSYD
• Kevin M Pratt
• Mary Connare Pratt, LCSW
• Preventive Nutrition for Life, LLC
• Stefanie Price
• Monte George Pries, PHD
• Christian Marie Prietto, M.A.
• Primitive Therapy Physical Therapy Inc
• Carlli Pruitt

• Chiropractor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.