Individual provider Active NPI

Giovanni Silva, D.C.

  • Sports Physician Chiropractor
  • Hermosa Beach, CA
National Provider Identifier
1275676835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC21802 Issued in CA
Practice address
1200 Pacific Coast Hwy Ste 204
Hermosa Beach, CA 90254-3955
Phone
(310) 372-8551
Fax
(310) 372-8945
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DC21802 CA Primary

Addresses

Primary practice location

1200 Pacific Coast Hwy Ste 204
Hermosa Beach, CA 90254-3955

Mailing address

1200 Pacific Coast Hwy Ste 204
Hermosa Beach, CA 90254-3955
Phone (310) 372-8551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000679 CA Practitioner - Chiropractic 7214943976 Practice locations: Hermosa Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC21802CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab X CurrentSince Jan 1, 1990 Accepting new patients
Silva Sports Medicine & Rehab Sports Physician CurrentSince Jan 1, 1990 Accepting new patients
Silva McCauley Advanced Clinic of Physical Therapy Inc Past Accepting new patients

Locations

1200 Pacific Coast Hwy
Ste 204
Hermosa Beach, CA 90254
Phone (310) 372-8551

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275676835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PACIFIC COAST HWY STE 204",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543955",
            "telephone_number": "310-372-8551",
            "fax_number": "310-372-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PACIFIC COAST HWY STE 204",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543955",
            "telephone_number": "310-372-8551",
            "fax_number": "310-372-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "GIOVANNI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC21802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.