DR. AUGUSTINE LOUIS NIETO III (NPI# 1891180790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891180790 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTINE LOUIS NIETO III |
| Credential | D.C. |
| Practice Address |
4200 Trabuco Rd Suite 180 Irvine CA 92620-3600 |
| Practice Telephone | 9495521172 |
| Practice Fax Number | 9495528172 |
| Mailing Telephone | 9495521172 |
| Mailing Fax Number | 9495528172 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC33247 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS | DC33247 | 01 |
| Street Address |
4200 TRABUCO RD SUITE 180 |
| City | IRVINE |
| State | CA |
| Zip Code | 92620-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028374 | Pamela Dorner | Physical Therapist | 4200 Trabuco Rd, Suite 150, Irvine, CA 92620-3600 | 2006-01-17 |
| 1174095194 | Thi Hai Duong Phan | Pharmacy | 4200 Trabuco Rd, Irvine, CA 92620-3600 | 2019-01-02 |
| 1902115579 | Brent M. Smith, D.c. A Chiropractic Corporation | Chiropractor | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3600 | 2010-09-30 |
| 1568786523 | Heather Lyn Carmona | Chiropractor | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3659 | 2010-03-19 |
| 1326240268 | Ying Qi | Acupuncturist | 4200 Trabuco Rd, #218, Irvine, CA 92620 | 2007-06-04 |
| 1396961496 | Ali Sarvestani | Chiropractor | 4200 Trabuco Rd, Irvine, CA 92620-3600 | 2007-04-17 |
| 1518084383 | Hellen H Roh | Family Medicine | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3600 | 2007-03-24 |
| 1033236138 | Regina Yang | Dentist | 4200 Trabuco Rd, # 110, Irvine, CA 92620-3600 | 2007-03-23 |
| 1154461705 | Jane E Becker-galusha | Physical Therapist | 4200 Trabuco Rd, Suite 150, Irvine, CA 92620-3600 | 2007-02-06 |
| 1376625665 | Chong-shu Wang | Dentist | 4200 Trabuco Rd, #130, Irvine, CA 92620-3600 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1285047886 | Dongwuk Koh | Technician/Technologist | 4790 Irvine Blvd Suit 105-180, Irvine, CA 92620 | 2014-06-11 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| Find all providers in zip 92620 | ||||
| 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 |
|---|---|---|---|---|
| 1033741145 | Faraz Ozlati | Chiropractor | 400 Limestone Apt 115, Irvine, CA 92603-4106 | 2020-02-06 |
| 1114404142 | Christina Goulart | Chiropractor | 5201 Mirasol, Irvine, CA 92620-0320 | 2018-07-23 |
| 1225524689 | Robert Paul Iannessa Jr. | Chiropractor | 2004 Mcgaw Ave, Irvine, CA 92614-0911 | 2018-07-09 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1588166367 | Chilinh Dinh Nguyen | Chiropractor | 4466 Sandburg Way, Irvine, CA 92612-2738 | 2018-03-07 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1225544976 | The Functional Medicine Center | Chiropractor | 2081 Business Center Dr Ste 175, Irvine, CA 92612-1131 | 2017-12-18 |
| 1568981868 | Brian David Harbin | Chiropractor | 6 Venture Ste 115, Irvine, CA 92618-7347 | 2017-09-18 |
| 1821513706 | Delaram Shekarriz | Chiropractor | 17975 Sky Park Cir Ste C, Irvine, CA 92614-6329 | 2017-08-11 |
| 1467977306 | Rong Zhang | Chiropractor | 113 Waterworks Way Ste 250, Irvine, CA 92618-3169 | 2017-08-11 |
| Find all providers in IRVINE | ||||
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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.