Individual provider Active NPI

Juliano Callaci, DC

  • Chiropractor
  • Capitola, CA
National Provider Identifier
1013075340
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27727 Issued in CA
Practice address
716 Capitola Ave Ste a
Capitola, CA 95010-2777
Phone
(831) 479-1213
Fax
(831) 479-1016
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27727 CA Primary

Addresses

Primary practice location

716 Capitola Ave Ste a
Capitola, CA 95010-2777

Mailing address

716 Capitola Ave Ste a
Capitola, CA 95010-2777
Phone (831) 479-1213

Other identifiers 1

IdentifierTypeStateIssuer
DC0277270OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27727CAMDClinical Social Worker
DC27727CAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1013075340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CAPITOLA AVE STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102777",
            "telephone_number": "831-479-1213",
            "fax_number": "831-479-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 CAPITOLA AVE STE A",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102777",
            "telephone_number": "831-479-1213",
            "fax_number": "831-479-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLACI",
        "first_name": "JULIANO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DC0277270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.