DR. KENDRA S BEAL (NPI# 1902034911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902034911 |
| Entity Type | Individual |
| Full Name | DR. KENDRA S BEAL |
| Credential | D.C. |
| Practice Address |
18055 Bushard St Fountain Valley CA 92708-5760 |
| Practice Telephone | 7145463472 |
| Practice Fax Number | 7147847811 |
| Mailing Telephone | 7145463472 |
| Mailing Fax Number | 7147847811 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC30984 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | DC30984 | 01 |
| Street Address |
18055 BUSHARD ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208871 | Dale P Fisher | Chiropractor | 18055 Bushard St, Fountain Valley, CA 92708-5760 | 2005-07-13 |
| 1013140110 | Non Surgical Spine Center | Specialist | 18055 Bushard St, Fountain Valley, CA 92708-5760 | 2009-08-24 |
| 1861607020 | Brian J Beckner | Chiropractor | 18055 Bushard St, Fountain Valley, CA 92708-5760 | 2007-05-11 |
| 1265441521 | David Reece Levin | Podiatrist | 18055 Bushard St, Fountain Valley, CA 92708-5760 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1184189128 | Franchesca Nguyen | Chiropractor | 11770 Warner Ave Ste 117, Fountain Valley, CA 92708-2660 | 2019-02-04 |
| 1275024564 | Michelle Quynh Dang | Chiropractor | 9550 Warner Ave Ste 224, Fountain Valley, CA 92708-2843 | 2018-05-23 |
| 1598297210 | Abbas Safieddine | Chiropractor | 11757 Quartz Ave, Fountain Valley, CA 92708-2534 | 2017-03-31 |
| 1295273613 | Jared Young Chiropractic, Inc | Chiropractor | 8780 Warner Ave Ste 11, Fountain Valley, CA 92708-3210 | 2017-02-06 |
| 1912443052 | Robert Himes | Chiropractor | 17662 Santa Rosa Cir, Fountain Valley, CA 92708-4331 | 2017-01-12 |
| 1326437252 | Andy Joo Lee | Chiropractor | 18246 Solano River Ct, Fountain Valley, CA 92708-5949 | 2015-01-15 |
| 1760821334 | Rashad G Mansour | Chiropractor | 17050 Bushard St Ste 205, Fountain Valley, CA 92708-2832 | 2013-06-17 |
| 1558616631 | Richmond Chiropractic Inc. | Chiropractor | 9092 Talbert Ave Ste 9, Fountain Valley, CA 92708-4452 | 2012-07-16 |
| 1023318391 | Glenn Anthony Magarian | Chiropractor | 11037 Warner Ave, Suite 333, Fountain Valley, CA 92708-4007 | 2010-11-02 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on DR. KENDRA S BEAL.
| 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.