Individual provider Active NPI

Julie Stefanski, DC

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1952821357
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34279 Issued in CA
Practice address
2830 Newport Blvd
Newport Beach, CA 92663-3724
Phone
(719) 650-4461
NPI assigned
Jun 27, 2017
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR-00007623 CO
Chiropractor 111N00000X 34279 CA Primary

Addresses

Primary practice location

2830 Newport Blvd
Newport Beach, CA 92663-3724

Mailing address

2830 Newport Blvd
Newport Beach, CA 92663-3724
Phone (719) 650-4461

Other practice location 1

2700 W Coast Hwy Ste 234
Newport Beach, CA 92663
Phone (719) 650-4461

Other identifiers 1

IdentifierTypeStateIssuer
1952821357OtherCOOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jstefanskidc@gmail.com

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
CHR-00007623COMDChiropractor
34279CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Stefanski, D.C., Chiropractic Corporation Chiropractor CurrentSince Feb 4, 2024 Accepting new patients

Locations

2830 Newport Blvd
Newport Beach, CA 92663
Phone (719) 650-4461

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1952821357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633724",
            "telephone_number": "719-650-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633724",
            "telephone_number": "719-650-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 W Coast Hwy Ste 234",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "92663",
            "country_code": "US",
            "telephone_number": "719-650-4461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANSKI",
        "first_name": "JULIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR-00007623",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1952821357",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jstefanskidc@gmail.com",
            "affiliation": "N",
            "address_1": "2830 Newport Blvd",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926633724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.