DR. STACEY B GILLIS D.C.
NPI 1497780225
Chiropractor in Costa Mesa, CA

Active since July 11, 2006
2200 HARBOR BLVD STE B160, COSTA MESA, CA 92627(949) 515-5170(949) 515-5173 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacey B Gillis D.c. NPPES

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

DR. STACEY B GILLIS D.C. (NPI 1497780225) is an individual chiropractor in Costa Mesa, California, licensed in California (DC28079) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1497780225
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. STACEY B GILLISCredential: D.C.
Location Address2200 HARBOR BLVD STE B160Costa Mesa, CA 92627-5871
Mailing Address2200 Harbor Blvd Ste B160Costa Mesa, CA 92627-5871 · (949) 515-5170 · Fax (949) 515-5173
Fax(949) 515-5173
Sole ProprietorYes
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 11, 2008
NPI 1497780225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC28079
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.
2200 HARBOR BLVD STE B160, Costa Mesa, CA 92627

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 Stacey Gillis's NPI number?

The NPI number for Stacey Gillis is 1497780225. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Stacey Gillis located?

Stacey Gillis practices at 2200 Harbor Blvd Ste B160, Costa Mesa, CA 92627. The listed phone number is (949) 515-5170.

What is Stacey Gillis'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 Stacey Gillis was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.