IAN FITZ-GIBBON — NPI 1033612197 (Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner in VERNON, CA)

CMS-1500 Box 24J / 33a • NPI

1033612197

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111NI0013X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner

Box 32 Service Location & ZIP+4

3668 S SOTO ST, VERNON, CA, 90058-1701

✓ 9-Digit EDI 837 ZIP+4 (90058-1701)

Practice Phone & Referral Fax

(323) 586-0218

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033612197 (IAN FITZ-GIBBON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033612197` (NPI-1 Individual Practitioner)
Provider / Legal Name	IAN FITZ-GIBBON
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner NUCC Code: `111NI0013X` (Chiropractor, Independent Medical Examiner)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3668 S SOTO ST, VERNON, CA, 90058-1701
Practice Telephone / Fax	Tel: (323) 586-0218
Administrative Mailing Address	2615 RAQUETA, NEWPORT BEACH, CA, 92660-3510
Enumeration & Last Sync	Enumerated: 2018-03-15 \| CMS Record Updated: 2018-03-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3668 S SOTO ST, VERNON, CA, 90058-1701

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Plain-English Taxonomy & CMS Crosswalk (111NI0013X)

What Does Taxonomy Code 111NI0013X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0013X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor, Independent Medical Examiner for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (IAN FITZ-GIBBON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111NI0013X` — Chiropractor, Independent Medical Examiner Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner	State: CA \| License: `22334` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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IAN FITZ-GIBBON (NPI #1033612197)