Individual provider Active NPI

Edward Emiliano Espinoza II

  • Chiropractor
  • San Ramon, CA
National Provider Identifier
1336672450
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33842 Issued in CA
Practice address
500 Bollinger Canyon Way Ste A15
San Ramon, CA 94582-5297
Phone
(925) 735-8508
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC33842 CA Primary

Addresses

Primary practice location

500 Bollinger Canyon Way Ste A15
San Ramon, CA 94582-5297

Mailing address

500 Bollinger Canyon Way Ste A15
San Ramon, CA 94582-5297
Phone (925) 735-8508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170713001805 CA Practitioner - Chiropractic 1951670538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1172 San Pablo Ave
Suite 203
Berkeley, CA 94706-2110
Phone (510) 305-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33842CAMDMarriage & Family Therapist
DC33842CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Espinoza Chiropractic Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

1530A 5th St
Berkeley, CA 94710
Phone (510) 305-4772

1172 San Pablo Ave
Ste 203
Berkeley, CA 94706
Phone (510) 305-4772

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1336672450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOLLINGER CANYON WAY STE A15",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825297",
            "telephone_number": "925-735-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOLLINGER CANYON WAY STE A15",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825297",
            "telephone_number": "925-735-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "EDWARD",
        "middle_name": "EMILIANO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.