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DR. SAMUEL ROY CORNELL DC, ATC
NPI 1255880308
Chiropractor in Mission Viejo, CA

Active since September 30, 2016Accepts Medicare Assignment
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691(949) 454-8811 Get Directions Write a Review

NPPES record last updated: February 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2022, Feb 12, 2022, Sep 30, 2016 (3 updates tracked since 2016).

About Dr. Samuel Roy Cornell Dc, Atc NPPES

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

DR. SAMUEL ROY CORNELL DC, ATC (NPI 1255880308) is an individual chiropractor in Mission Viejo, California, licensed in California (DC36279) and active in the NPI registry since September 2016. He is a graduate of Los Angeles College Of Chiropractic (2021).

NPPES Registry Identity

NPI1255880308
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMUEL ROY CORNELLCredential: DC, ATC
Location Address24002 VIA FABRICANTE STE 501Mission Viejo, CA 92691-3934
Mailing Address39 Feldspar WayRancho Santa Margarita, CA 92688-3518 · (949) 338-3880
Phone(949) 454-8811
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 2021
Enumeration DateSeptember 30, 2016
Last NPPES UpdateFebruary 19, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2022
✔ NPI 1255880308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC36279
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.
24002 VIA FABRICANTE STE 501, Mission Viejo, CA 92691
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Roy Cornell Dc, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719371244
PECOS Enrollment IDI20230210001463

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
112 services17 patients

Other Providers at the Same Location NPPES 7

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

CINDY CHRISTINA FARAGUNA NURSE PRACTITIONER
Nurse Practitioner (Family)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
LORETTA M NICCOLA NP
Nurse Practitioner
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
LINA KHANUKAYEV PT, DPT
Physical Therapist (Orthopedic)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
SOGOL FATEHI
Physical Therapist
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
ALLEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
Chiropractor (Neurology)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 855-9629
DR. NICHOLAS ROGERS D.C.
Chiropractor
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 707-4770
THOMAS JACOB VANDUSEN
Chiropractor (Rehabilitation)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811

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 Samuel Cornell's NPI number?

The NPI number for Samuel Cornell is 1255880308. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Samuel Cornell located?

Samuel Cornell practices at 24002 Via Fabricante Ste 501, Mission Viejo, CA 92691. The listed phone number is (949) 454-8811.

What is Samuel Cornell's specialty?

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

Is Samuel Cornell enrolled in Medicare?

Yes. Samuel Cornell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Cornell accept?

Health plans from Medica and Providence Health Plan list Samuel Cornell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Cornell was last updated on February 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.