NPIMap

Organization Active NPI

Southern California University of Health Sciences

  • Chiropractor
  • Whittier, CA
National Provider Identifier
1881764322
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES
Practice address
16200 E Amber Valley Drive
Whittier, CA 90604
Phone
(562) 947-8755
Fax
(562) 902-3332
NPI assigned
Nov 9, 2006
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Melissa Anne NagareNPI 1922297829
Title
Chief Clinical Officer
Phone
(562) 947-3386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

16200 E Amber Valley Drive
Whittier, CA 90604

Mailing address

16200 E Amber Valley Drive
Whittier, CA 90604
Phone (562) 947-8755

Other practice location 1

3501 Jamboree Rd # 1250
Newport Beach, CA 92660-2939
Phone (562) 943-7125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000970 CA Part B Supplier - Clinic/Group Practice 9537073945 Receives reassigned benefits from 9 practitioners
Practice locations: Tustin, CA; Whittier, CA

National Provider Directory

National Provider Directory
Tax ID family
Southern California University of Health Sciences2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1192 N Lake Ave
Pasadena, CA 91104
Phone (626) 798-7805

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1881764322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 E AMBER VALLEY DRIVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-947-8755",
            "fax_number": "562-902-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 E AMBER VALLEY DRIVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-947-8755",
            "fax_number": "562-902-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Jamboree Rd # 1250",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602939",
            "country_code": "US",
            "telephone_number": "562-943-7125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "NAGARE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "562-947-3386"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.