Active NPI
Joanne Louise Miceli, D.C.
- Radiology Chiropractor
- Montebello, CA
National Provider Identifier
1376606335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- DC26298
- Practice address
- 100 W Whittier Blvd
Montebello, CA 90640-5320 - Phone
- (323) 721-3797
- Fax
- (323) 721-4982
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | DC26298 | CA | Primary |
Addresses
Primary practice location
100 W Whittier Blvd
Montebello, CA 90640-5320
Mailing address
8643 Seranata Dr
Whittier, CA 90603-1058
Phone (323) 528-5238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000760 | CA | Practitioner - Chiropractic | 0244407377 | Practice locations: Montebello, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 W Whittier Blvd
Montebello, CA 90640-5320
Phone (323) 721-3797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26298 | CA | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miceli Chiropractic Center,Inc | Past | Accepting new patients | |
| Jane Miceli, MD Prof. LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1861907230
-
- Psychiatry Physician
- Denver, CO
- NPI 1730387994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376606335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8643 SERANATA DR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906031058",
"telephone_number": "323-528-5238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906405320",
"telephone_number": "323-721-3797",
"fax_number": "323-721-4982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICELI",
"first_name": "JOANNE",
"middle_name": "LOUISE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "DC26298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.