Trestles Chiropractic an Anderson Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32637 Issued in CA

Legal business name

TRESTLES CHIROPRACTIC AN ANDERSON CORPORATION

Practice address

653 Camino de Los Mares Ste 100
San Clemente, CA 92673-2808

Phone

(949) 284-6620

Fax

(949) 284-0598

NPI assigned

Sep 12, 2016

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Roger Anderson, D.C.NPI 1295175024

Title

Owner

Phone

(949) 284-6620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Ryan Roger Anderson, D.C.

  • Chiropractor
  • San Clemente, CA
  • NPI 1295175024
  Medicare reassignment Care Compare group NPD Authorized official
• Sydney Stephenson, DC

  • Chiropractor
  • Mission Viejo, CA
  • NPI 1497448823
  Medicare reassignment Care Compare group NPD
• Emery Lipp, DC

  • Chiropractor
  • Commerce City, CO
  • NPI 1942893144
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1972051514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES STE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-284-6620",
            "fax_number": "949-284-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES STE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-284-6620",
            "fax_number": "949-284-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESTLES CHIROPRACTIC AN ANDERSON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-284-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Tomasin, PA-C
• Nhu Quynh Tran, D.D.S.
• Trinh T Tran
• Tranquil Conceptions Psychiatry, Emily Lippincott Pmhnp, a Nursing Professional Corporation
• Treasures of Our Culture, Inc.
• Lissa A Trevino, P.T
• Sabrina Trinh, PA-C
• Ronald Winston Trosper, DDS
• Simon Pedro Trujillo, IDC
• Angela Ryan Tumbrello, PTA

• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.