Active NPI
My Center for Chiropractic & Anti-Aging Medicine Inc
- General Practice Physician
- Mission Viejo, CA
National Provider Identifier
1992979538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A60570
- Legal business name
- MY CENTER FOR CHIROPRACTIC & ANTI-AGING MEDICINE INC
- Practice address
- 26990 Crown Valley Pkwy
Suite C
Mission Viejo, CA 92691-6548 - Phone
- (949) 364-5656
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David C Manago, DC
- Title
- President
- Phone
- (949) 364-5656
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC14686 | CA | |
| General Practice Physician | 208D00000X | A60570 | CA | Primary |
Addresses
Primary practice location
26990 Crown Valley Pkwy
Suite C
Mission Viejo, CA 92691-6548
Mailing address
26990 Crown Valley Pkwy
Suite C
Mission Viejo, CA 92691-6548
Phone (949) 364-5656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A605700 | Other | CA | BCBS |
| DC0146860 | Other | CA | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Ladera Ranch, CA
- NPI 1063459964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1992979538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26990 CROWN VALLEY PKWY",
"address_2": "SUITE C",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916548",
"telephone_number": "949-364-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26990 CROWN VALLEY PKWY",
"address_2": "SUITE C",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916548",
"telephone_number": "949-364-5656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY CENTER FOR CHIROPRACTIC & ANTI-AGING MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "MANAGO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-364-5656",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC14686",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A60570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00A605700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DC0146860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.