NPIMap

Organization Active NPI

Vendetta Chiropractic Corp.

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1912028663
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22881 Issued in CA
Legal business name
VENDETTA CHIROPRACTIC CORP.
Practice address
1905 Fullerton Ave, #a
Costa Mesa, CA 92627-2277
Phone
(949) 548-5800
Fax
(949) 548-5803
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Mary Vendetta, D. C.NPI 1710216643
Title
Owner Doctor
Phone
(949) 548-5800

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 DC22881 CA Primary

Addresses

Primary practice location

1905 Fullerton Ave, #a
Costa Mesa, CA 92627-2277

Mailing address

P.O. Box 4298
Costa Mesa, CA 92628-4298
Phone (949) 548-5800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1912028663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4298",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926284298",
            "telephone_number": "949-548-5800",
            "fax_number": "949-548-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 FULLERTON AVE, #A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272277",
            "telephone_number": "949-548-5800",
            "fax_number": "949-548-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENDETTA CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "VENDETTA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "949-548-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.