Individual provider Active NPI

Steven Anthony Battaglino, D.C.

  • Chiropractor
  • Petaluma, CA
National Provider Identifier
1063576866
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29118 Issued in CA
Practice address
620 Petaluma Boulevard N.
Suite B
Petaluma, CA 94952
Phone
(707) 559-4070
Fax
(707) 559-4071
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29118 CA
Chiropractor 111N00000X 29118 CA Primary

Addresses

Primary practice location

620 Petaluma Boulevard N.
Suite B
Petaluma, CA 94952

Mailing address

620 Petaluma Boulevard N.
Suite B.
Petaluma, CA 94952
Phone (707) 559-4070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114002794 WA Practitioner - Chiropractic 8224277744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Health Ctr of Med Lake PSGroup PAC ID 2567464696, 9 clinicians

Practice addresses (Care Compare)

731 N Stanley St
Medical Lake, WA 99022-8940
Phone (509) 299-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29118CAMDChiropractor
29118CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Ctr of Med Lake PS Chiropractor CurrentSince Nov 9, 2024 Accepting new patients
Battaglino Family Chiropractic Chiropractor PastSince Jun 22, 2015 Accepting new patients

Locations

731 N Stanley St
Medical Lake, WA 99022
Phone (509) 299-6900

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1063576866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PETALUMA BOULEVARD N.",
            "address_2": "SUITE B.",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94952",
            "telephone_number": "707-559-4070",
            "fax_number": "707-559-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PETALUMA BOULEVARD N.",
            "address_2": "SUITE B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94952",
            "telephone_number": "707-559-4070",
            "fax_number": "707-559-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLINO",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29118",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.