JEFFREY WAYNE MALLOCK DC
NPI 1043010812
Chiropractor in Tustin, CA

Q: What is Jeffrey Mallock's NPI number?

The NPI number for Jeffrey Mallock is 1043010812. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Q: What is Jeffrey Mallock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Mallock was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2025

17821 E. 17TH ST., SUITE 250, TUSTIN, CA 92780(714) 505-2093(714) 573-0072 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Mar 19, 2025 (2 updates tracked since 2025).

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About Jeffrey Wayne Mallock Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY WAYNE MALLOCK DC (NPI 1043010812) is an individual chiropractor in Tustin, California, licensed in California (DC17747) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1043010812

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJEFFREY WAYNE MALLOCKCredential: DC

Location Address17821 E. 17TH ST., SUITE 250Tustin, CA 92780

Mailing Address17821 E. 17th St., Suite 250Tustin, CA 92780 · (714) 505-2093 · Fax (714) 573-0072

Phone(714) 505-2093

Fax(714) 573-0072

Sole ProprietorYes

Enumeration DateMarch 19, 2025

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

✔ NPI 1043010812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC17747

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

17821 E. 17TH ST., SUITE 250, Tustin, CA 92780

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Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Mallock's NPI number?

The NPI number for Jeffrey Mallock is 1043010812. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Jeffrey Mallock located?

Jeffrey Mallock practices at 17821 E. 17th St., Suite 250, Tustin, CA 92780. The listed phone number is (714) 505-2093.

What is Jeffrey Mallock's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Mallock was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.