Individual provider Active NPI

Anthony Todd Rayman, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1194717686
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-29525 Issued in CA
Practice address
3001 I St, 115
Sacramento, CA 95816
Phone
(916) 452-5055
Fax
(916) 244-0606
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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-29525 CA Primary

Addresses

Primary practice location

3001 I St, 115
Sacramento, CA 95816

Mailing address

3001 I St 115
Sacramento, CA 95816-4442
Phone (916) 452-5055

Other identifiers 1

IdentifierTypeStateIssuer
DC0295250MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214001237 CA Practitioner - Chiropractic 5294792925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3001 I St
Suite 115
Sacramento, CA 95816-4442
Phone (916) 452-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-29525CAMDChiropractor
29525CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rayman Chiropractic a Professional Corporation Chiropractor CurrentSince Jan 1, 2005 Accepting new patients
Fort Sutter Chiropractic Past Accepting new patients

Locations

3001 I St
Ste 115
Sacramento, CA 95816
Phone (916) 325-9101

1221 Alhambra Blvd
Ste 105
Sacramento, CA 95816
Phone (916) 448-7600

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1194717686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 I ST 115",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164442",
            "telephone_number": "916-452-5055",
            "fax_number": "916-244-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 I ST, 115",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-452-5055",
            "fax_number": "916-244-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMAN",
        "first_name": "ANTHONY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-29525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0295250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.