Individual provider Active NPI

Trevis Tyree Rawlinson, D.C.

  • Chiropractor
  • Tracy, CA
National Provider Identifier
1265683031
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31023 Issued in CA
Practice address
95 W 11TH St Ste 102
Tracy, CA 95376-3960
Phone
(209) 229-8756
Fax
(888) 972-1896
NPI assigned
Oct 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31023 CA Primary

Addresses

Primary practice location

95 W 11TH St Ste 102
Tracy, CA 95376-3960

Mailing address

95 W 11TH St Ste 102
Tracy, CA 95376-3960
Phone (209) 229-8756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001195 CA Practitioner - Chiropractic 0840699930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 W 11TH St
Suite 102
Tracy, CA 95376-3960
Phone (209) 229-8756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31023CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rawlinson Chiropractic Inc CurrentSince Jan 7, 2021 Accepting new patients

Locations

95 W 11th St
Ste 102
Tracy, CA 95376
Phone (209) 229-8756

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1265683031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W 11TH ST STE 102",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763960",
            "telephone_number": "209-229-8756",
            "fax_number": "888-972-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W 11TH ST STE 102",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763960",
            "telephone_number": "209-229-8756",
            "fax_number": "888-972-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINSON",
        "first_name": "TREVIS",
        "middle_name": "TYREE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.