NPIMap

Organization Active NPI

Vitz Chiropractic and Rehabilitation, Inc.

  • Rehabilitation Chiropractor
  • Oakland, CA
National Provider Identifier
1144633447
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC29962 Issued in CA
Legal business name
VITZ CHIROPRACTIC AND REHABILITATION, INC.
Practice address
401 29TH St
Suite 205
Oakland, CA 94609-3519
Phone
(510) 444-2663
Fax
(510) 444-0747
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dr. Andrea Marie Vitz, DCNPI 1598992323
Title
Agent
Phone
(510) 444-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X DC29962 CA Primary

Addresses

Primary practice location

401 29TH St
Suite 205
Oakland, CA 94609-3519

Mailing address

401 29TH St
Suite 205
Oakland, CA 94609-3519
Phone (510) 444-2663

Other identifiers 1

IdentifierTypeStateIssuer
1598992323OtherCANPPES

National Provider Directory

National Provider Directory

Locations

401 29th St
Ste 205
Oakland, CA 94609
Phone (510) 444-2663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1144633447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 29TH ST",
            "address_2": "SUITE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093519",
            "telephone_number": "510-444-2663",
            "fax_number": "510-444-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 29TH ST",
            "address_2": "SUITE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093519",
            "telephone_number": "510-444-2663",
            "fax_number": "510-444-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITZ CHIROPRACTIC AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "VITZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "510-444-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC29962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598992323",
            "state": "CA"
        }
    ],
    "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 Jun 4, 2014; 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.