Individual provider Active NPI

Lori Sender-O'Hara, D.C.

  • Internist Chiropractor
  • Goleta, CA
National Provider Identifier
1164562872
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
18637 Issued in CA
Practice address
25 Carlo Dr
Ste B
Goleta, CA 93117-2072
Phone
(805) 964-0222
Fax
(805) 964-0022
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 18637 CA Primary

Addresses

Primary practice location

25 Carlo Dr
Ste B
Goleta, CA 93117-2072

Mailing address

25 Carlo Dr
Ste B
Goleta, CA 93117-2072
Phone (805) 964-0222

Other identifiers 1

IdentifierTypeStateIssuer
770205769OtherCATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000741 CA Practitioner - Chiropractic 2062674856 Practice locations: Goleta, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Carlo Dr
Suite B
Goleta, CA 93117-2072
Phone (805) 964-0222

25 Carlo Dr B
Goleta, CA 93117-2072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18637CAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1164562872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARLO DR",
            "address_2": "STE B",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172072",
            "telephone_number": "805-964-0222",
            "fax_number": "805-964-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARLO DR",
            "address_2": "STE B",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172072",
            "telephone_number": "805-964-0222",
            "fax_number": "805-964-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDER-O'HARA",
        "first_name": "LORI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "18637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770205769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.