Individual provider Active NPI

Kebby Vincent Margaretich, D.C.

  • Chiropractor
  • Grass Valley, CA
National Provider Identifier
1407949118
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
23309 Issued in CA
Practice address
652 S Auburn St
Grass Valley, CA 95945-7533
Phone
(530) 273-4102
Fax
(530) 273-6826
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 23309 CA Primary

Addresses

Primary practice location

652 S Auburn St
Grass Valley, CA 95945-7533

Mailing address

652 S Auburn St
Grass Valley, CA 95945-7533
Phone (530) 273-4102

Other names 1

  • Kebby V. Margaretich Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000128 CA Practitioner - Chiropractic 5496927196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

652 S Auburn St
Grass Valley, CA 95945-7533
Phone (530) 273-4102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23309CAMDOccupational Therapist

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1407949118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 S AUBURN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457533",
            "telephone_number": "530-273-4102",
            "fax_number": "530-273-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 S AUBURN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457533",
            "telephone_number": "530-273-4102",
            "fax_number": "530-273-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGARETICH",
        "first_name": "KEBBY",
        "middle_name": "VINCENT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEBBY",
            "last_name": "MARGARETICH",
            "middle_name": "V.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.