Individual provider Active NPI

Victoria M Gorney Tutak, D.C., PSY,D

  • Orthopedic Chiropractor
  • Grass Valley, CA
National Provider Identifier
1255573168
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC18807 Issued in CA
Practice address
1061 E Main St
Suite 102
Grass Valley, CA 95945-5724
Phone
(530) 615-4041
Fax
(530) 615-4043
NPI assigned
Mar 24, 2009
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X DC18807 CA Primary

Addresses

Primary practice location

1061 E Main St
Suite 102
Grass Valley, CA 95945-5724

Mailing address

1061 E Main St
Suite 102
Grass Valley, CA 95945-5724
Phone (530) 615-4041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101113000161 CA Practitioner - Chiropractic 5799970901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1061 E Main St
Suite 102
Grass Valley, CA 95945-5724
Phone (530) 615-4041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18807CAMDClinical Social Worker
DC18807CAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Acc Gorney-Tutak Chiropractic Inc CurrentSince Apr 9, 2018 Accepting new patients

Locations

1061 E Main St
Ste 102
Grass Valley, CA 95945
Phone (530) 477-1753

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1255573168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-615-4041",
            "fax_number": "530-615-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-615-4041",
            "fax_number": "530-615-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNEY TUTAK",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C., PSY,D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC18807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.