Individual provider Active NPI

Michael Anthony Spagnoli, D.C.

  • Rehabilitation Chiropractor
  • Calabasas, CA
National Provider Identifier
1396868451
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC17829 Issued in CA
Practice address
4766 Park Granada Ste 114
Calabasas, CA 91302-3348
Phone
(818) 225-5900
Fax
(818) 225-5905
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC17829 CA Primary

Addresses

Primary practice location

4766 Park Granada Ste 114
Calabasas, CA 91302-3348

Mailing address

PO Box 8549
Calabasas, CA 91372-8549
Phone (818) 225-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17829CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Savage Chiropractic, PC Rehabilitation CurrentSince Feb 13, 2022 Accepting new patients

Locations

4766 Park Granada
Ste 114
Calabasas, CA 91302
Phone (310) 458-0898

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1396868451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8549",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728549",
            "telephone_number": "818-225-5900",
            "fax_number": "818-225-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 PARK GRANADA STE 114",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023348",
            "telephone_number": "818-225-5900",
            "fax_number": "818-225-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC17829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.