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IDEAL SPINE & REHAB
NPI 1205128949
Chiropractor in Tustin, CA

Active since May 13, 2011
17251 17TH ST STE A&B, TUSTIN, CA 92780(714) 832-2273(714) 832-2272 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ideal Spine & Rehab NPPES

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

IDEAL SPINE & REHAB (NPI 1205128949) is a healthcare organization registered as a chiropractor in Tustin, California and active in the NPI registry since May 2011. The organization lists Joseph Pacelli, Owner, as its authorized official.

NPPES Registry Identity

NPI1205128949
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIDEAL SPINE & REHAB
Location Address17251 17TH ST STE A&BTustin, CA 92780-1970
Mailing Address17251 17th St Ste A&bTustin, CA 92780-1970 · (714) 832-2273 · Fax (714) 832-2272
Phone(714) 832-2273
Fax(714) 832-2272
Organization SubpartNo
Authorized OfficialJoseph PacelliOwner · (714) 832-2273
Enumeration DateMay 13, 2011
Last NPPES UpdateNovember 30, 2016
✔ NPI 1205128949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in CA · DC11750✔ Licensed in CA · DC30257
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.
17251 17TH ST STE A&B, Tustin, CA 92780
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Other Identifiers 4

Medicare UPINDC11750CA
Medicare UPINDC30257CA
Medicare UPINCB265178CA
Medicare UPINHI564ZCA

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

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 Ideal Spine & Rehab's NPI number?

The NPI number for Ideal Spine & Rehab is 1205128949. It was assigned to this organization in the NPPES registry on May 13, 2011.

Where is Ideal Spine & Rehab located?

Ideal Spine & Rehab is located at 17251 17th St Ste A&b, Tustin, CA 92780. The listed phone number is (714) 832-2273.

What is Ideal Spine & Rehab'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 Ideal Spine & Rehab was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.