Individual provider Active NPI

Karen Azevedo, DC

  • Chiropractor
  • Chico, CA
National Provider Identifier
1326191529
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0225221 Issued in CA
Practice address
676 E 1St Ave Ste 15
Chico, CA 95926-3547
Phone
(530) 893-9363
NPI assigned
Jan 19, 2007
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0225221 CA Primary

Addresses

Primary practice location

676 E 1St Ave Ste 15
Chico, CA 95926-3547

Mailing address

676 E 1St Ave Ste 15
Chico, CA 95926-3547
Phone (530) 893-9363

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ66762ZOtherCABLUE SHIELD PROVIDER NUMB
DC0225221OtherCACHIROPRACTOR LICENSE NUMB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001767 CA Practitioner - Chiropractic 9931193703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

676 E 1St Ave
Suite 15
Chico, CA 95926-3547
Phone (530) 893-9363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC0225221CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Azevedo Chiropractic Center P C Chiropractor CurrentSince Jan 1, 1998 Accepting new patients

Locations

254 Cohasset Rd
Ste 20
Chico, CA 95926
Phone (530) 893-8936

676 E 1st Ave
Ste 15
Chico, CA 95926
Phone (530) 893-9363

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, 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1326191529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-893-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-893-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "KAREN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0225221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ66762Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE NUMB",
            "identifier": "DC0225221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.