COMPLETE SPINE AND WELLNESS GROUP, INC NPI 1003038399

Chiropractor (Rehabilitation) in Costa Mesa, CA

NPI 1003038399 Organization Chiropractor Rehabilitation

About COMPLETE SPINE AND WELLNESS GROUP, INC

Complete Spine And Wellness Group, Inc is a provider established in Costa Mesa, California specializing in chiropractor (rehabilitation) . The NPI number of Complete Spine And Wellness Group, Inc is 1003038399 and was assigned on May 2007. The practitioner's primary taxonomy code is 111NR0400X with license number DC26382 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Complete Spine And Wellness Group, Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mary Eberhart Dc, Qme (Ceo)

A chiropractor like Complete Spine And Wellness Group, Inc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1003038399

Provider NameCOMPLETE SPINE AND WELLNESS GROUP, INC
Provider Location Address1640 NEWPORT BLVD STE 220 COSTA MESA, CA 92627
Provider Mailing Address1640 NEWPORT BLVD STE 220 COSTA MESA, CA 92627
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-03-2007
Last Update Date12-11-2012


Primary Taxonomy

Taxonomy Code111NR0400X
ClassificationChiropractor
TypeChiropractic Providers
SpecializationRehabilitation
License No.DC26382
License StateCA
Taxonomy DescriptionRehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Business Address

COMPLETE SPINE AND WELLNESS GROUP, INC
1640 NEWPORT BLVD STE 220
COSTA MESA, CA
ZIP 92627
Phone: (949) 650-4362
Fax: (949) 650-4366

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Mailing Address

COMPLETE SPINE AND WELLNESS GROUP, INC
1640 NEWPORT BLVD STE 220
COSTA MESA, CA
ZIP 92627
Phone: (949) 650-4362
Fax: (949) 650-4366



Authorized Official

Authorized Official NameDR. MARY EBERHART DC, QME
Authorized Official TitleCEO
Authorized Official Phone(949) 650-4362

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1639319924OTHER (01)CA
BQ944AMEDICARE PIN (08)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134588932RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Organization
Ophthalmology1640 NEWPORT BLVD STE 220
COSTA MESA, CA 92627
(949) 876-5046

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.