Irvine Physical Medicine & Rehabilitation A Medical Corporation
NPI 1366436396ActiveOrganization· Chiropractor, Orthopedic· Irvine, CA
Chiropractor, Orthopedic in Irvine, California, registered in NPPES in September 2005. The authorized official on file is Daizy Gutierrez, Billing Manager. Enrolled in Medicare as dme supplier - physician - physical and rehabilitation and part b supplier - clinic/group practice.
Overview
| NPI | 1366436396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | May 13, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Orthopedic Primary | 111NX0800X | DC24241 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Physical and Rehabilitation (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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