Individual provider Active NPI

Ryan Steven Fessel, DC

  • Chiropractor
  • Santa Maria, CA
National Provider Identifier
1386153666
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34023 Issued in CA
Practice address
519 S Broadway
Santa Maria, CA 93454-5176
Phone
(805) 925-4569
NPI assigned
Sep 29, 2017
Last updated
May 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20171123000005 CA Practitioner - Chiropractic 9638436827 Reassigns benefits to 1 organization
Practice locations: Pismo Beach, CA

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

LicenseStateTypeSpecialty
34023CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fessel Chiropractic Inc. Chiropractor CurrentSince May 4, 2021 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.

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.

Verify at the official NPI Registry.