Individual provider Active NPI

Tracy Rae Simon, DOCTOR OF CHIROPRATI

  • Chiropractor
  • Vacaville, CA
National Provider Identifier
1275622730
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27700 Issued in CA
Practice address
530 W Monte Vista Ave
Vacaville, CA 95688-3620
Phone
(707) 448-9661
Fax
(707) 448-9663
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27700 CA Primary

Addresses

Primary practice location

530 W Monte Vista Ave
Vacaville, CA 95688-3620

Mailing address

530 W Monte Vista Ave
Vacaville, CA 95688-3620
Phone (707) 448-9661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916001040 CA Practitioner - Chiropractic 0143344937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel Howley Chiropractic IncorporatedGroup PAC ID 9234585043, 2 clinicians

Practice addresses (Care Compare)

190 S Orchard Ave
Suite B101
Vacaville, CA 95688-3650
Phone (707) 448-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Howley Chiropractic Incorporated Chiropractor CurrentSince May 9, 2024 Accepting new patients

Locations

530 W Monte Vista Ave
Vacaville, CA 95688
Phone (707) 446-9661

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1275622730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-448-9661",
            "fax_number": "707-448-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883620",
            "telephone_number": "707-448-9661",
            "fax_number": "707-448-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TRACY",
        "middle_name": "RAE",
        "credential": "DOCTOR OF CHIROPRATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.