Organization Active NPI

Baratta Chiropractic Inc

  • Chiropractor
  • Carmichael, CA
National Provider Identifier
1417126293
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24081 Issued in CA
Legal business name
BARATTA CHIROPRACTIC INC
Practice address
6728 Fair Oaks Blvd
300
Carmichael, CA 95608-3827
Phone
(916) 979-0716
Fax
(916) 979-0108
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Tony Baratta, D..C
Title
Owner Dr of Chiropractic
Phone
(916) 979-0716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC24081 CA Primary

Addresses

Primary practice location

6728 Fair Oaks Blvd
300
Carmichael, CA 95608-3827

Mailing address

15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999

Other identifiers 5

IdentifierTypeStateIssuer
DC0240810OtherCABLUE SHIELD
DC24081OtherCACHIROPRACTIC LICENSE
ZZZ07746ZOtherCAGROUP PTAN
1730209586OtherCAINDIVIDUAL NPI
DC0240811OtherCAINDIVIDUAL PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000810 CA Part B Supplier - Clinic/Group Practice 2668546896 Receives reassigned benefits from 1 practitioner
Practice locations: Carmichael, CA

National Provider Directory

National Provider Directory

Locations

6728 Fair Oaks Blvd
Ste 306
Carmichael, CA 95608
Phone (916) 979-0716

6728 Fair Oaks Blvd
Ste 300
Carmichael, CA 95608
Phone (916) 797-0716

5707 Marconi Ave
Ste D
Carmichael, CA 95608
Phone (916) 489-5450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1417126293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 FAIR OAKS BLVD",
            "address_2": "300",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083827",
            "telephone_number": "916-979-0716",
            "fax_number": "916-979-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARATTA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BARATTA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER DR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "916-979-0716",
        "authorized_official_credential": "D..C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0240810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC24081",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ07746Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730209586",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "DC0240811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.