Individual provider Active NPI

Joseph Diquattro, D.C.

  • Sports Physician Chiropractor
  • Palm Springs, CA
National Provider Identifier
1265464853
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC171000 Issued in CA
Practice address
400 S Farrell Dr
Suite B101
Palm Springs, CA 92262-7964
Phone
(760) 416-9199
Fax
(760) 416-9249
NPI assigned
Jul 6, 2006
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC171000 CA Primary

Addresses

Primary practice location

400 S Farrell Dr
Suite B101
Palm Springs, CA 92262-7964

Mailing address

400 S Farrell Dr
Suite B101
Palm Springs, CA 92262-7964
Phone (760) 416-9199

Other identifiers 2

IdentifierTypeStateIssuer
DC0171000OtherCAMEDICARE PTAN
DC17100OtherCADC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC171000CAMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1265464853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S FARRELL DR",
            "address_2": "SUITE B101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627964",
            "telephone_number": "760-416-9199",
            "fax_number": "760-416-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S FARRELL DR",
            "address_2": "SUITE B101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627964",
            "telephone_number": "760-416-9199",
            "fax_number": "760-416-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIQUATTRO",
        "first_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC171000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0171000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "DC17100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.