Active NPI
Trevor Minton, D.C.
- Chiropractor
- San Ramon, CA
National Provider Identifier
1255719480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33260
- Practice address
- 2355 San Ramon Valley Blvd Ste 102
San Ramon, CA 94583-1597 - Phone
- (510) 407-6353
- NPI assigned
- May 7, 2015
- Last updated
- May 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33260 | CA | Primary |
Addresses
Primary practice location
2355 San Ramon Valley Blvd Ste 102
San Ramon, CA 94583-1597
Mailing address
15844 Via Eduardo
San Lorenzo, CA 94580-1963
Phone (510) 407-6353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713000836 | CA | Practitioner - Chiropractic | 6507178084 | Practice locations: El Sobrante, CA; Walnut Creek, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1280 Civic Dr
Suite 111
Walnut Creek, CA 94596-7208
Phone (925) 279-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minton Chiropractic Apc | Chiropractor | Current | Accepting new patients |
Locations
1280 Civic Dr
Ste 111
Walnut Creek, CA 94596
Phone (510) 331-6057
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": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1255719480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15844 VIA EDUARDO",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801963",
"telephone_number": "510-407-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 SAN RAMON VALLEY BLVD STE 102",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831597",
"telephone_number": "510-407-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTON",
"first_name": "TREVOR",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.