Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elisha Blackmar Van Deusen IV, DC

Individual provider Chiropractor · NPI 1265445837

Dr. Elisha Blackmar Van Deusen IV, DC is a Chiropractic in Fountain Valley, California. Qualified in 2002, 24 years ago. Practices with Van Deusen Chiropractic Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

17220 Newhope St Ste 123
Fountain Valley, CA 92708-4272
Phone: (714) 556-6966
Fax: (714) 556-6967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC28866 (CA)

Record details

NPI number1265445837
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESApril 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Van Deusen Chiropractic Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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