Individual provider Active NPI

Sophia Suprai, D.C.

  • Chiropractor
  • Granite Bay, CA
National Provider Identifier
1427411610
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33504 Issued in CA
Practice address
6049 Douglas Blvd Ste 4
Granite Bay, CA 95746-6249
Phone
(916) 872-1999
Fax
(916) 872-1919
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC33504 CA Primary

Addresses

Primary practice location

6049 Douglas Blvd Ste 4
Granite Bay, CA 95746-6249

Mailing address

6049 Douglas Blvd Ste 4
Granite Bay, CA 95746-6249
Phone (916) 872-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170131000748 CA Practitioner - Chiropractic 9335421163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelo Chiropractic, IncGroup PAC ID 9436320561, 4 clinicians

Practice addresses (Care Compare)

903 Embarcadero Dr
Suite 4
El Dorado Hills, CA 95762-4098
Phone (916) 933-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC33504CAMDChiropractor
33504CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Suprai Chiropractic Incorporated Chiropractor CurrentSince Apr 21, 2026 Accepting new patients
Angelo Chiropractic, Inc Chiropractor CurrentSince Jan 17, 2017 Accepting new patients

Locations

903 Embarcadero Dr
Ste 4
El Dorado Hills, CA 95762
Phone (916) 933-9870

6049 Douglas Blvd
Ste 4
Granite Bay, CA 95746
Phone (916) 872-1999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1427411610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 4",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466249",
            "telephone_number": "916-872-1999",
            "fax_number": "916-872-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 4",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466249",
            "telephone_number": "916-872-1999",
            "fax_number": "916-872-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRAI",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.