Dr. Vince Disaia, D.C.
Chiropractor in Lake Forest, CA. Individual provider (NPI-1).
NPI number1154514636
StatusActive
Last updated in NPPESApr 27, 2012
Details
- NPI
- 1154514636
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vince Disaia
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2007
- Last updated
- Apr 27, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 30492 | CA | Yes |
Practice location
22661 Lambert StSuite 207
Lake Forest, CA 92630-1612
Phone 949-916-9742 · Fax 949-716-2694
Mailing address
22661 Lambert StSuite 207
Lake Forest, CA 92630-1612
Phone 949-916-9742 · Fax 949-716-2694
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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