Active NPI
Ryan Steven Fessel, DC
- Chiropractor
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34023
- Practice address
- 519 S Broadway
Santa Maria, CA 93454-5176 - Phone
- (805) 925-4569
- NPI assigned
- Sep 29, 2017
- Last updated
- May 18, 2021
- Sex
- Male
- 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 | 34023 | CA | Primary |
Addresses
Primary practice location
519 S Broadway
Santa Maria, CA 93454-5176
Mailing address
1151 Baden Ave Unit B
Grover Beach, CA 93433-2703
Phone (760) 505-1662
Other practice location 1
1422 Monterey St
San Luis Obispo, CA 93401-2944
Phone (805) 781-9155
Other practice location 2
881 Oak Park Blvd
Pismo Beach, CA 93449-3293
Phone (805) 473-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
519 S Broadway
Santa Maria, CA 93454-5176
Phone (805) 925-4569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34023 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fessel Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
| Scott a Dubrul, Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Locations
519 S Broadway
Santa Maria, CA 93454
Phone (805) 925-4569
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Santa Maria, CA
- NPI 1770158743
-
- Chiropractor
- San Luis Obispo, CA
- NPI 1083739841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1386153666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 BADEN AVE UNIT B",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332703",
"telephone_number": "760-505-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 S BROADWAY",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545176",
"telephone_number": "805-925-4569"
}
],
"practiceLocations": [
{
"address_1": "1422 Monterey St",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934012944",
"country_code": "US",
"telephone_number": "805-781-9155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "881 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Pismo Beach",
"state": "CA",
"postal_code": "934493293",
"country_code": "US",
"telephone_number": "805-473-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FESSEL",
"first_name": "RYAN",
"middle_name": "STEVEN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-29",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.