STARK FAMILY CHIROPRACTIC INC.
NPI 1497138424
Chiropractor in Fountain Valley, CA

Q: What is Stark Family Chiropractic Inc.'s NPI number?

The NPI number for Stark Family Chiropractic Inc. is 1497138424. It was assigned to this organization in the NPPES registry on July 8, 2015.

Q: What is Stark Family Chiropractic Inc.'s specialty?

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

Active since July 08, 2015

17922 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708(714) 887-7009(714) 968-4384 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stark Family Chiropractic Inc. NPPES

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

STARK FAMILY CHIROPRACTIC INC. (NPI 1497138424) is a healthcare organization registered as a chiropractor in Fountain Valley, California and active in the NPI registry since July 2015. The organization lists Lysa Nemiroff Stark, Chiropractor/ Co-owner, as its authorized official.

NPPES Registry Identity

NPI1497138424

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSTARK FAMILY CHIROPRACTIC INC.

Location Address17922 MAGNOLIA STFountain Valley, CA 92708-5039

Mailing Address17922 Magnolia StFountain Valley, CA 92708-5039 · (714) 887-7009 · Fax (714) 968-4384

Phone(714) 887-7009

Fax(714) 968-4384

Organization SubpartNo

Authorized OfficialLysa Nemiroff StarkChiropractor/ Co-owner · (714) 887-7009

Enumeration DateJuly 8, 2015

Last NPPES UpdateOctober 26, 2015

✔ NPI 1497138424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

17922 MAGNOLIA ST, Fountain Valley, CA 92708

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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 MULTIPLE 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)

Stark Family Chiropractic Inc. 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 Stark Family Chiropractic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Randall Stark, D.C.

Chiropractic

NPI 1568674737

4132 KATELLA AVE STE 102
Los Alamitos, CA 90720

(562) 493-4473

✔ Accepts Medicare8.6 mi

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 Stark Family Chiropractic Inc.'s NPI number?

The NPI number for Stark Family Chiropractic Inc. is 1497138424. It was assigned to this organization in the NPPES registry on July 8, 2015.

Where is Stark Family Chiropractic Inc. located?

Stark Family Chiropractic Inc. is located at 17922 Magnolia St, Fountain Valley, CA 92708. The listed phone number is (714) 887-7009.

What is Stark Family Chiropractic Inc.'s specialty?

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

Is Stark Family Chiropractic Inc. enrolled in Medicare?

Yes. Stark Family Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stark Family Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Stark Family Chiropractic Inc.. 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 Stark Family Chiropractic Inc. was last updated on October 26, 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.