NPIMap

Organization Active NPI

Sports Wellness Center

  • Rehabilitation Chiropractor
  • Yorba Linda, CA
National Provider Identifier
1932315835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC23109 Issued in CA
Legal business name
SPORTS WELLNESS CENTER
Practice address
22222 La Palma Ave
Yorba Linda, CA 92887-3813
Phone
(714) 692-7138
Fax
(714) 692-7141
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Lawrence ShaevitzNPI 1013023712
Title
Owner
Phone
(714) 692-7138

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC23109 CA Primary

Addresses

Primary practice location

22222 La Palma Ave
Yorba Linda, CA 92887-3813

Mailing address

22222 La Palma Ave
Yorba Linda, CA 92887-3813
Phone (714) 692-7138

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932315835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873813",
            "telephone_number": "714-692-7138",
            "fax_number": "714-692-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22222 LA PALMA AVE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873813",
            "telephone_number": "714-692-7138",
            "fax_number": "714-692-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAEVITZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-692-7138",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.