Individual provider Active NPI

Giti Mokhber-Pellicani, DC

  • Chiropractor
  • Campbell, CA
National Provider Identifier
1053487686
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16755 Issued in CA
Practice address
430 Marathon Dr
Campbell, CA 95008-0918
Phone
(408) 378-2225
Fax
(408) 370-6653
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16755 CA Primary

Addresses

Primary practice location

430 Marathon Dr
Campbell, CA 95008-0918

Mailing address

430 Marathon Dr
Campbell, CA 95008-0918
Phone (408) 378-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000498 CA Practitioner - Chiropractic 1759317050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pellicani Chiropractic CorpGroup PAC ID 8628093721, 2 clinicians

Practice addresses (Care Compare)

430 Marathon Dr
Campbell, CA 95008-0918
Phone (408) 378-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16755CAMDChiropractor
16755CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pellicani Chiropractic Corp Chiropractor CurrentSince Aug 18, 2005 Accepting new patients

Locations

430 Marathon Dr
Campbell, CA 95008
Phone (408) 378-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1053487686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MARATHON DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080918",
            "telephone_number": "408-378-2225",
            "fax_number": "408-370-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MARATHON DR",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080918",
            "telephone_number": "408-378-2225",
            "fax_number": "408-370-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHBER-PELLICANI",
        "first_name": "GITI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.

Verify at the official NPI Registry.