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COSTA LIFESTLYE MEDICINE
NPI 1053748533
Chiropractor in San Clemente, CA

Active since September 30, 2013
181 AVENIDA VAQUERO, STE D, SAN CLEMENTE, CA 92672(949) 218-4750(949) 276-7393 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costa Lifestlye Medicine NPPES

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

COSTA LIFESTLYE MEDICINE (NPI 1053748533) is a healthcare organization registered as a chiropractor in San Clemente, California and active in the NPI registry since September 2013. The organization lists Cynthia Jayne Elizabeth Costa, Chiroprator/owner, as its authorized official.

NPPES Registry Identity

NPI1053748533
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOSTA CHIROPRACTIC CORPORATION
Location Address181 AVENIDA VAQUERO, STE DSan Clemente, CA 92672-3600
Mailing Address181 Avenida Vaquero, Ste DSan Clemente, CA 92672-3600 · (949) 218-4750 · Fax (949) 276-7393
Phone(949) 218-4750
Fax(949) 276-7393
Organization SubpartNo
Authorized OfficialCynthia Jayne Elizabeth CostaChiroprator/owner · (949) 637-1668
Enumeration DateSeptember 30, 2013
Last NPPES UpdateSeptember 7, 2016
✔ NPI 1053748533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC29364
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.

181 AVENIDA VAQUERO, San Clemente, CA 92672
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Other Names 1

Doing Business AsCosta Lifestlye Medicine

Other Identifiers 1

Medicare PINCB260351CA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JOHN REDMOND DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
181 AVENIDA VAQUERO, SUITE C
SAN CLEMENTE, CA 92672
Orange County (949) 492-2141

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 Costa Chiropractic Corporation's NPI number?

The NPI number for Costa Chiropractic Corporation is 1053748533. It was assigned to this organization in the NPPES registry on September 30, 2013. The provider is doing business as Costa Lifestlye Medicine.

Where is Costa Chiropractic Corporation located?

Costa Chiropractic Corporation is located at 181 Avenida Vaquero Ste D, San Clemente, CA 92672. The listed phone number is (949) 218-4750.

What is Costa Chiropractic Corporation'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 Costa Chiropractic Corporation was last updated on September 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.