Individual provider Active NPI

Jack Trapasso, D.C.

  • Sports Physician Chiropractor
  • Valencia, CA
National Provider Identifier
1932404712
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC30817 Issued in CA
Practice address
25060 Avenue Stanford Ste 290
Valencia, CA 91355-0984
Phone
(661) 491-1900
NPI assigned
Jan 25, 2011
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC30817 CA Primary
Rehabilitation Chiropractor 111NR0400X DC30817 CA

Addresses

Primary practice location

25060 Avenue Stanford Ste 290
Valencia, CA 91355-0984

Mailing address

25060 Avenue Stanford Ste 290
Valencia, CA 91355-0984
Phone (661) 491-1900

Other practice location 1

1601 Cloverfield Blvd Ste 1050N
Santa Monica, CA 90404-4171
Phone (310) 453-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC30817CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valencia Chiropractic Trapasso Inc Sports Physician CurrentSince Mar 24, 2025 Accepting new patients

Locations

25060 Avenue Stanford
Ste 290
Valencia, CA 91355
Phone (661) 491-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1932404712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25060 AVENUE STANFORD STE 290",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550984",
            "telephone_number": "661-491-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25060 AVENUE STANFORD STE 290",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913550984",
            "telephone_number": "661-491-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Cloverfield Blvd Ste 1050N",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904044171",
            "country_code": "US",
            "telephone_number": "310-453-4700",
            "fax_number": "310-453-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAPASSO",
        "first_name": "JACK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC30817",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC30817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.