Organization Active NPI

Anderson Chiropractic, Inc.

  • Chiropractor
  • Los Alamitos, CA
National Provider Identifier
1972738771
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16988 Issued in CA
Legal business name
ANDERSON CHIROPRACTIC, INC.
Practice address
10671 Los Alamitos Blvd
Los Alamitos, CA 90720-2137
Phone
(562) 594-6538
Fax
(562) 594-6958
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Richard Todd Anderson, D.C.NPI 1619984879
Title
President
Phone
(562) 594-6538

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 16988 CA Primary

Addresses

Primary practice location

10671 Los Alamitos Blvd
Los Alamitos, CA 90720-2137

Mailing address

10671 Los Alamitos Blvd
Los Alamitos, CA 90720-2137
Phone (562) 594-6538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000259 CA Part B Supplier - Clinic/Group Practice 8820149727 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

10671 Los Alamitos Blvd
Los Alamitos, CA 90720
Phone (562) 594-6538

Practitioners & affiliated clinicians

Practitioners 1

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": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1972738771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202137",
            "telephone_number": "562-594-6538",
            "fax_number": "562-594-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10671 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202137",
            "telephone_number": "562-594-6538",
            "fax_number": "562-594-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-594-6538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.