Active NPI
Philip F Livolsi, D.C.
- Chiropractor
- Redding, CA
National Provider Identifier
1043392277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22776
- Practice address
- 926 E Cypress Ave #700
Redding, CA 96002-1040 - Phone
- (530) 221-0253
- Fax
- (530) 229-9080
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22776 | CA | Primary |
Addresses
Primary practice location
926 E Cypress Ave #700
Redding, CA 96002-1040
Mailing address
926 E Cypress Ave #700
Redding, CA 96002-1040
Phone (530) 221-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000982 | CA | Practitioner - Chiropractic | 3274793252 | Practice locations: Redding, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
926 E Cypress Ave
Suite 700
Redding, CA 96002-1040
Phone (530) 221-0253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22776 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1043392277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 E CYPRESS AVE #700",
"city": "REDDING",
"state": "CA",
"postal_code": "960021040",
"telephone_number": "530-221-0253",
"fax_number": "530-229-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E CYPRESS AVE #700",
"city": "REDDING",
"state": "CA",
"postal_code": "960021040",
"telephone_number": "530-221-0253",
"fax_number": "530-229-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVOLSI",
"first_name": "PHILIP",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "22776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.