Organization Active NPI

Burdi Chiropractic

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1861663320
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12621 Issued in CA
Legal business name
BURDI CHIROPRACTIC
Practice address
22762 Aspan St
Suite 200
Lake Forest, CA 92630-1604
Phone
(949) 770-6922
Fax
(949) 770-6923
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. George F Burdi, D.C.NPI 1922163625
Title
Owner
Phone
(949) 770-6922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12621 CA Primary

Addresses

Primary practice location

22762 Aspan St
Suite 200
Lake Forest, CA 92630-1604

Mailing address

22762 Aspan St
Suite 200
Lake Forest, CA 92630-1604
Phone (949) 770-6922

Other identifiers 1

IdentifierTypeStateIssuer
DC0126210OtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

22762 Aspan St
Ste 200
Lake Forest, CA 92630
Phone (512) 633-9264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1861663320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "SUITE 200",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "949-770-6922",
            "fax_number": "949-770-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "SUITE 200",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "949-770-6922",
            "fax_number": "949-770-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BURDI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-770-6922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "12621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0126210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.