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

Dr. Samuel Roy Cornell, DC, ATC

Individual provider Chiropractor · NPI 1255880308

Dr. Samuel Roy Cornell, DC, ATC is a Chiropractic in Mission Viejo, California. Graduated from Los Angeles College of Chiropractic in 2021, 5 years ago. Practices with Arvada Sport and Spine Group, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Los Angeles College of Chiropractic
Licensed in
CA
In the registry since
2016
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

24002 Via Fabricante Ste 501
Mission Viejo, CA 92691-3934
Phone: (949) 454-8811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC36279 (CA)

Record details

NPI number1255880308
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , ATC
Sole proprietorYes
NPI enumeratedSeptember 30, 2016
Last updated in NPPESFebruary 19, 2022
Certification dateFebruary 19, 2022

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 2021 (5 years in practice)
Group practice Arvada Sport And Spine Group — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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