DR. ELISHA BLACKMAR VAN DEUSEN IV D.C.
NPI 1265445837
Chiropractor in Fountain Valley, CA

Active since August 14, 2006Accepts Medicare Assignment
17220 NEWHOPE ST, SUITE 123, FOUNTAIN VALLEY, CA 92708(714) 556-6966(714) 556-6967 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elisha Blackmar Van Deusen Iv D.c. NPPES

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

DR. ELISHA BLACKMAR VAN DEUSEN IV D.C. (NPI 1265445837) is an individual chiropractor in Fountain Valley, California, licensed in California (DC28866) and active in the NPI registry since August 2006. He is a graduate of Other (2002).

NPPES Registry Identity

NPI1265445837
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ELISHA BLACKMAR VAN DEUSEN IVCredential: D.C.
Location Address17220 NEWHOPE ST, SUITE 123Fountain Valley, CA 92708-4272
Mailing Address17220 Newhope St, Suite 123Fountain Valley, CA 92708-4272 · (714) 556-6966 · Fax (714) 556-6967
Fax(714) 556-6967
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 14, 2006
Last NPPES UpdateApril 17, 2015
NPI 1265445837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC28866
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.
17220 NEWHOPE ST, Fountain Valley, CA 92708

Other Identifiers 1

Medicare ID-Type UnspecifiedWDC28866ACA

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. Elisha Blackmar Van Deusen Iv D.c. 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 ID2668417494
PECOS Enrollment IDI20050622001088

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, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
279 services13 patients

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
17220 NEWHOPE ST, #125
FOUNTAIN VALLEY, CA 92708
Dentist (General Practice)
17220 NEWHOPE ST, SUITE 201
FOUNTAIN VALLEY, CA 92708
Internal Medicine (Geriatric Medicine)
17220 NEWHOPE ST, SUITE #125
FOUNTAIN VALLEY, CA 92708
Dentist (Pediatric Dentistry)
17220 NEWHOPE ST, SUITE 201
FOUNTAIN VALLEY, CA 92708
Family Medicine
17220 NEWHOPE ST, 125
FOUNTAIN VALLEY, CA 92708
Psychiatry & Neurology (Neurology)
17220 NEWHOPE ST, SUITE 217
FOUNTAIN VALLEY, CA 92708
Dentist (Orthodontics and Dentofacial Orthopedics)
17220 NEWHOPE ST, STE 227
FOUNTAIN VALLEY, CA 92708
Marriage & Family Therapist
17220 NEWHOPE ST, #205
FOUNTAIN VALLEY, CA 92708

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 Elisha Van Deusen's NPI number?

The NPI number for Elisha Van Deusen is 1265445837. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Elisha Van Deusen located?

Elisha Van Deusen practices at 17220 Newhope St Suite 123, Fountain Valley, CA 92708. The listed phone number is (714) 556-6966.

What is Elisha Van Deusen's specialty?

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

Is Elisha Van Deusen enrolled in Medicare?

Yes. Elisha Van Deusen 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.

When was this NPI record last updated?

The NPPES record for Elisha Van Deusen was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.