DR. CHERYL KETNER (NPI# 1538188933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538188933 |
| Entity Type | Individual |
| Full Name | DR. CHERYL KETNER |
| Credential | DC |
| Practice Address |
276 Victoria St Costa Mesa CA 92627-1989 |
| Practice Telephone | 9496429355 |
| Mailing Telephone | 9496429355 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC 26750 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI FOR CORPORATION | 1528249927 | 01 |
| CA | GROUP PROVIDER NUMBER | W19565 | 01 |
| Street Address |
276 VICTORIA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780865469 | Thien Di Dang Nguyen | Chiropractor | 276 Victoria St, Costa Mesa, CA 92627-1989 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| 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 |
|---|---|---|---|---|
| 1447885389 | Sara Van Dyke | Chiropractor | 1525 Mesa Verde Dr E Ste 108, Costa Mesa, CA 92626-5221 | 2020-03-11 |
| 1851926802 | Kendra Kautz | Chiropractor | 3188 Airway Ave Ste E, Costa Mesa, CA 92626-4652 | 2020-03-10 |
| 1841822699 | Shawn Tabrizi | Chiropractor | 3140 Red Hill Ave Ste 100, Costa Mesa, CA 92626-3400 | 2020-02-10 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| 1538600937 | Courtney Elyce Wilson | Chiropractor | 1525 Mesa Verde Dr E Ste 113, Costa Mesa, CA 92626-5221 | 2017-03-17 |
| 1063860591 | Connor Upper Cervical Chiropractic of Southern California | Chiropractor | 485 E 17th St Ste 510, Costa Mesa, CA 92627-4719 | 2016-05-25 |
| 1063869345 | Jane Macris | Chiropractor | 2845 Mesa Verde Dr E Ste 6d, Costa Mesa, CA 92626-4858 | 2016-05-17 |
| 1306231303 | Jordan Rio | Chiropractor | 1520 Nutmeg Pl Ste 260, Costa Mesa, CA 92626-2558 | 2015-04-06 |
| 1376981159 | Angela Marie Caraza | Chiropractor | 2900 Bristol St Ste J102, Costa Mesa, CA 92626-7918 | 2013-06-13 |
| 1962742270 | Gooing Chiropractic Clinic Inc | Chiropractor | 2787 Bristol St, Suite 102, Costa Mesa, CA 92626-5956 | 2013-02-22 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| 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.