Individual provider Active NPI

Aaron Rosselle, D.C.

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1053553479
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-26924 Issued in CA
Practice address
478 Santa Clara Ave
#200
Oakland, CA 94610-1976
Phone
(510) 444-4443
Fax
(510) 444-1777
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-26924 CA Primary

Addresses

Primary practice location

478 Santa Clara Ave
#200
Oakland, CA 94610-1976

Mailing address

478 Santa Clara Ave
#200
Oakland, CA 94610-1976
Phone (510) 444-4443

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
DC-26924CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic Chiropractor Past Accepting new patients

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1053553479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 SANTA CLARA AVE",
            "address_2": "#200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101976",
            "telephone_number": "510-444-4443",
            "fax_number": "510-444-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 SANTA CLARA AVE",
            "address_2": "#200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101976",
            "telephone_number": "510-444-4443",
            "fax_number": "510-444-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSELLE",
        "first_name": "AARON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-26924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.