Active NPI
Michael Ludovico, DC
- Chiropractor
- San Mateo, CA
National Provider Identifier
1295808186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25468
- Practice address
- 190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272 - Phone
- (650) 349-2222
- Fax
- (650) 341-3415
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC25468 | CA | Primary |
Addresses
Primary practice location
190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272
Mailing address
190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272
Phone (650) 349-2222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25468 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1295808186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 W 25TH AVE STE 4",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032272",
"telephone_number": "650-349-2222",
"fax_number": "650-341-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 W 25TH AVE STE 4",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032272",
"telephone_number": "650-349-2222",
"fax_number": "650-341-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDOVICO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.