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AMIE JACKELIN VIDANA
NPI 1790631034
Chiropractor in Garden Grove, CA

Active since March 09, 2026
11562 KNOTT ST STE 17, GARDEN GROVE, CA 92841(714) 209-7602 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amie Jackelin Vidana NPPES

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

AMIE JACKELIN VIDANA (NPI 1790631034) is an individual chiropractor in Garden Grove, California, licensed in California (DC37409) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1790631034
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAMIE JACKELIN VIDANA
Location Address11562 KNOTT ST STE 17Garden Grove, CA 92841-1823
Mailing Address11562 Knott St Ste 17Garden Grove, CA 92841-1823 · (714) 209-7602
Phone(714) 209-7602
Sole ProprietorNo
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1790631034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC37409
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.
11562 KNOTT ST STE 17, Garden Grove, CA 92841
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Other Providers at the Same Location NPPES 4

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

THAI MAI DC
Chiropractor (Rehabilitation)
11562 KNOTT ST STE 17
GARDEN GROVE, CA 92841
Orange County (714) 448-9776
DR. THOMAS Y. IWASHITA DC
Chiropractor
11562 KNOTT ST STE 17
GARDEN GROVE, CA 92841
Orange County (714) 209-7602
ERIK PAPKE
Student in an Organized Health Care Education/Training Program
11562 KNOTT ST STE 17
GARDEN GROVE, CA 92841
Orange County (714) 209-7602
IWASHITA CHIROPRACTIC CORP
Chiropractor
11562 KNOTT ST STE 17
GARDEN GROVE, CA 92841
Orange County (714) 209-7602

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 Amie Vidana's NPI number?

The NPI number for Amie Vidana is 1790631034. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Amie Vidana located?

Amie Vidana practices at 11562 Knott St Ste 17, Garden Grove, CA 92841. The listed phone number is (714) 209-7602.

What is Amie Vidana'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 Amie Vidana was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.