DR. JACK C HEWITT (NPI# 1215165220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215165220 |
| Entity Type | Individual |
| Full Name | DR. JACK C HEWITT |
| Credential | D.C. |
| Practice Address |
10900 Los Alamitos Blvd #141 Los Alamitos CA 90720-2354 |
| Practice Telephone | 5625085109 |
| Practice Fax Number | 8554194417 |
| Mailing Telephone | 5625085109 |
| Mailing Fax Number | 8554194417 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2012-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC31004 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE # | DC31004 | 01 |
| Street Address |
10900 LOS ALAMITOS BLVD #141 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063433183 | Bernard Franklin Natelson | Psychologist | 10900 Los Alamitos Blvd, Suite 207, Los Alamitos, CA 90720-2354 | 2006-07-22 |
| 1427403518 | Birju Ashok Mehta | Dentist | 10900 Los Alamitos Blvd, Los Alamitos, CA 90720-2354 | 2016-04-26 |
| 1578846770 | Vitality Chiropractic Wellness Inc | Chiropractor | 10900 Los Alamitos Blvd, Suite 141, Los Alamitos, CA 90720-2354 | 2011-09-23 |
| 1881823086 | Marion Thomas | Dentist | 10900 Los Alamitos Blvd, #133, Los Alamitos, CA 90720-2354 | 2009-07-08 |
| 1578733424 | Alamitos Eye Care, Inc. | Optometrist | 10900 Los Alamitos Blvd, Ste. 102, Los Alamitos, CA 90720-2354 | 2008-03-06 |
| 1316149370 | Ashok S Mehta | Dentist | 10900 Los Alamitos Blvd, 133, Los Alamitos, CA 90720-2354 | 2007-06-01 |
| 1831313808 | Avani J Patel | Optometrist | 10900 Los Alamitos Blvd, Ste 102, Los Alamitos, CA 90720 | 2007-04-12 |
| 1144365024 | Sariya Vorasarun | Optometrist | 10900 Los Alamitos Blvd, #102, Los Alamitos, CA 90720 | 2007-02-20 |
| 1174673917 | Alamitos Anesthesia Medical Grp Inc | Specialist | 10900 Los Alamitos Blvd, 150, Los Alamitos, CA 90720-2354 | 2007-01-12 |
| 1609934512 | Elizabeth Weidlich | Chiropractor | 10900 Los Alamitos Blvd, Suite 141, Los Alamitos, CA 90720-2354 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962834606 | Teresa J Kedwards | Chiropractor | 4050 Katella Ave Ste 107, Los Alamitos, CA 90720-3466 | 2013-08-05 |
| 1689925349 | Keith D Curcillo | Chiropractor | 4132 Katella Ave Ste 205b, Los Alamitos, CA 90720-6602 | 2012-09-20 |
| 1619279817 | Khiev Aspiring Wellness Chiropractic | Chiropractor | 5152 Katella Ave Ste 202, Los Alamitos, CA 90720-2845 | 2010-11-22 |
| 1386853232 | Julie Marie Brown | Chiropractor | 4772 Katella Ave #102, Los Alamitos, CA 90720 | 2007-05-21 |
| 1568674737 | Randall Craig Stark | Chiropractor | 4132 Katella Ave Ste 102, Los Alamitos, CA 90720-3491 | 2007-05-03 |
| 1316061930 | Raymond T. Oca | Chiropractor | 5122 Katella Ave Ste 300, Los Alamitos, CA 90720-2827 | 2007-03-19 |
| 1710042890 | Jeffrey Robert Rockenmacher | Chiropractor | 4152 Katella Ave Ste 102, Los Alamitos, CA 90720-6606 | 2006-12-27 |
| 1780785089 | Cynthia Burkhardt | Chiropractor | 11274 Los Alamitos Blvd, Los Alamitos, CA 90720-3958 | 2006-09-26 |
| 1619984879 | Richard Todd Anderson | Chiropractor | 10671 Los Alamitos Blvd, Los Alamitos, CA 90720 | 2006-08-01 |
| 1942220793 | Craig Hite | Chiropractor | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | 2006-07-21 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on DR. JACK C HEWITT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.