Individual provider Active NPI

Stacy Ann Shulenberger, D.C., C.C.E.P.

  • Orthopedic Chiropractor
  • Danville, CA
National Provider Identifier
1073651600
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC28022 Issued in CA
Practice address
425 El Pintado Rd Ste 107
Danville, CA 94526-1865
Phone
(408) 313-2129
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X DC28022 CA
Sports Physician Chiropractor 111NS0005X DC28022 CA
Orthopedic Chiropractor 111NX0800X DC28022 CA Primary

Addresses

Primary practice location

425 El Pintado Rd Ste 107
Danville, CA 94526-1865

Mailing address

425 El Pintado Rd Ste 107
Danville, CA 94526-1865
Phone (408) 313-2129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000942 CA Practitioner - Chiropractic 4880671494 Practice locations: Danville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28022CAMDClinical Social Worker
DC28022CAMDInternist Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1073651600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 EL PINTADO RD STE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261865",
            "telephone_number": "408-313-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 EL PINTADO RD STE 107",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261865",
            "telephone_number": "408-313-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULENBERGER",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.E.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "DC28022",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28022",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC28022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.