Active NPI
Angela E. Sutter, D.C.
- Chiropractor
- Ventura, CA
National Provider Identifier
1366520801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17603
- Practice address
- 1445 Donlon St
Suite # 5
Ventura, CA 93003-5639 - Phone
- (805) 658-9999
- Fax
- (805) 658-8782
- NPI assigned
- Nov 1, 2006
- 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 | DC17603 | CA | Primary |
Addresses
Primary practice location
1445 Donlon St
Suite # 5
Ventura, CA 93003-5639
Mailing address
1445 Donlon St
Suite # 5
Ventura, CA 93003-5639
Phone (805) 658-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770157569 | Other | CA | TAX ID |
| DC17603 | Other | CA | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000241 | CA | Practitioner - Chiropractic | 0042479172 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1445 Donlon St
Suite 5
Ventura, CA 93003-8388
Phone (805) 658-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17603 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1366520801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 DONLON ST",
"address_2": "SUITE # 5",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035639",
"telephone_number": "805-658-9999",
"fax_number": "805-658-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 DONLON ST",
"address_2": "SUITE # 5",
"city": "VENTURA",
"state": "CA",
"postal_code": "930035639",
"telephone_number": "805-658-9999",
"fax_number": "805-658-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTER",
"first_name": "ANGELA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "770157569",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "DC17603",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.