DR. STACEY B GILLIS (D.C.) – Chiropractor, NPI 1497780225

DR. STACEY B GILLIS (D.C.) is a healthcare provider. based in Costa mesa, California. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. DC28079 (CA). The NPI Number for DR. STACEY B GILLIS (D.C.) is 1497780225

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY B GILLIS (D.C.)
NPI
1497780225
Phone
(949) 515-5170
Address
2200 HARBOR BLVD STE B160
Enumeration Date
11 July 2006
Last Update Date
11 August 2008

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
7911800537
Professional Enrollment ID
I20040130000627
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. STACEY B GILLIS (D.C.)

  • 2200 HARBOR BLVD STE B160

    COSTA MESA, CA 926275871

    Phone: (949) 515-5170

    Fax: (949) 515-5173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92627)

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Reviews

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Frequently asked questions

What federal number belongs to DR. STACEY B GILLIS (D.C.)?
The federal identifier for DR. STACEY B GILLIS (D.C.) is NPI 1497780225.
Is DR. STACEY B GILLIS (D.C.) currently active in the NPI registry?
CMS-published data lists DR. STACEY B GILLIS (D.C.) as an active registrant.
What kind of provider is DR. STACEY B GILLIS (D.C.)?
The page reflects Chiropractor for DR. STACEY B GILLIS (D.C.). Clinical services aligned with this taxonomy classification.
Does DR. STACEY B GILLIS (D.C.) practice in California?
You will see Costa Mesa, California on file for DR. STACEY B GILLIS (D.C.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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