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HEALTH SOURCE CHIROPRACTIC
NPI 1073871547
Chiropractor in Hermosa Beach, CA

Active since May 02, 2012
1100 PACIFIC COAST HWY, SUITE A, HERMOSA BEACH, CA 90254(310) 798-3227(310) 798-3229 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Health Source Chiropractic NPPES

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

HEALTH SOURCE CHIROPRACTIC (NPI 1073871547) is a healthcare organization registered as a chiropractor in Hermosa Beach, California and active in the NPI registry since May 2012. The organization lists Matthew David Costantino, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1073871547
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOSTANTINO CHIROPRACTIC CORPORATION
Location Address1100 PACIFIC COAST HWY, SUITE AHermosa Beach, CA 90254-3951
Mailing Address1100 Pacific Coast Hwy, Suite AHermosa Beach, CA 90254-3951 · (310) 798-3227 · Fax (310) 798-3229
Phone(310) 798-3227
Fax(310) 798-3229
Organization SubpartNo
Authorized OfficialMatthew David CostantinoOwner/ceo · (310) 798-3227
Enumeration DateMay 2, 2012
✔ NPI 1073871547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 21279
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.
1100 PACIFIC COAST HWY, Hermosa Beach, CA 90254
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Other Names 1

Doing Business AsHealth Source Chiropractic

Other Identifiers 1

Medicare UPINDC21279CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Source Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Health Source Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Costantino, D.C.
Chiropractic
NPI 1447463096
1100 PACIFIC COAST HWY SUITE A
Hermosa Beach, CA 90254
(310) 798-3227
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Costantino Chiropractic Corporation's NPI number?

The NPI number for Costantino Chiropractic Corporation is 1073871547. It was assigned to this organization in the NPPES registry on May 2, 2012. The provider is doing business as Health Source Chiropractic.

Where is Costantino Chiropractic Corporation located?

Costantino Chiropractic Corporation is located at 1100 Pacific Coast Hwy Suite A, Hermosa Beach, CA 90254. The listed phone number is (310) 798-3227.

What is Costantino Chiropractic Corporation's specialty?

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

Is Costantino Chiropractic Corporation enrolled in Medicare?

Yes. Costantino Chiropractic Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Costantino Chiropractic Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Costantino Chiropractic Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Costantino Chiropractic Corporation was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.