Organization Active NPI

Pacific Chiropractic & Wellness Center

  • Chiropractor
  • Tustin, CA
National Provider Identifier
1992188320
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33325 Issued in CA
Legal business name
PACIFIC CHIROPRACTIC & WELLNESS CENTER
Practice address
180 E Main St Ste 106
Tustin, CA 92780-4459
Phone
(714) 505-1901
Fax
(714) 884-3391
NPI assigned
Jul 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Fereshteh Saeeda, DCNPI 1043675697
Title
Doctor of Chiropractic
Phone
(714) 505-1901

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 33325 CA Primary

Addresses

Primary practice location

180 E Main St Ste 106
Tustin, CA 92780-4459

Mailing address

180 E Main St Ste 106
Tustin, CA 92780-4459
Phone (714) 505-1901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1992188320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 106",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804459",
            "telephone_number": "714-505-1901",
            "fax_number": "714-884-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E MAIN ST STE 106",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804459",
            "telephone_number": "714-505-1901",
            "fax_number": "714-884-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "SAEEDA",
        "authorized_official_first_name": "FERESHTEH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "714-505-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.