Active NPI
Lisa Devlin, DC
- Chiropractor
- Sunnyvale, CA
National Provider Identifier
1295889723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 21943
- Practice address
- 830 Stewart Dr Ste 102
Sunnyvale, CA 94085-4513 - Phone
- (650) 428-0950
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | DC 21943 | CA | Primary |
Addresses
Primary practice location
830 Stewart Dr Ste 102
Sunnyvale, CA 94085-4513
Mailing address
1608 W Campbell Ave Ste 341
Campbell, CA 95008-1535
Phone (650) 428-0950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040422001730 | CA | Practitioner - Chiropractic | 3375539414 | Practice locations: Sunnyvale, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
830 Stewart Dr
Suite 102
Sunnyvale, CA 94085-4513
Phone (650) 428-0950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21943 | CA | MD | Clinical Social Worker |
| DC 21943 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1295889723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 W CAMPBELL AVE STE 341",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081535",
"telephone_number": "650-428-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 STEWART DR STE 102",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854513",
"telephone_number": "650-428-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 21943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.