BODYPRO CHIROPRACTIC
NPI 1104968700
Chiropractor in Irvine, CA

Active since February 12, 2007
4482 BARRANCA PKWY, SUITE 192, IRVINE, CA 92604(949) 552-5094(949) 552-5096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bodypro Chiropractic NPPES

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

BODYPRO CHIROPRACTIC (NPI 1104968700) is a healthcare organization registered as a chiropractor in Irvine, California and active in the NPI registry since February 2007. The organization lists Raymond Emile Ganem, President, as its authorized official.

NPPES Registry Identity

NPI1104968700
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGANEM CHIROPRACTIC PROFESSIONAL CORPORATION
Location Address4482 BARRANCA PKWY, SUITE 192Irvine, CA 92604-7701
Mailing Address4482 Barranca Pkwy, Suite 192Irvine, CA 92604-7701 · (949) 552-5094 · Fax (949) 552-5096
Fax(949) 552-5096
Organization SubpartNo
Authorized OfficialRaymond Emile GanemPresident · (949) 552-5094
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104968700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC-24373
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.
4482 BARRANCA PKWY, Irvine, CA 92604

Other Names 1

Doing Business AsBodypro Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120309000272Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Chiropractic
NPI 1457490260
4482 BARRANCA PKWY SUITE 192
Irvine, CA 92604
(949) 552-5094
✔ Accepts MedicareSame 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 Ganem Chiropractic Professional Corporation's NPI number?

The NPI number for Ganem Chiropractic Professional Corporation is 1104968700. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Bodypro Chiropractic.

Where is Ganem Chiropractic Professional Corporation located?

Ganem Chiropractic Professional Corporation is located at 4482 Barranca Pkwy Suite 192, Irvine, CA 92604. The listed phone number is (949) 552-5094.

What is Ganem Chiropractic Professional Corporation's specialty?

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

Is Ganem Chiropractic Professional Corporation enrolled in Medicare?

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

When is Ganem Chiropractic Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ganem Chiropractic Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ganem Chiropractic Professional 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 Ganem Chiropractic Professional Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.