Individual provider Active NPI

Richard A Delbalso, D.C.

  • Chiropractor
  • Auburn, CA
National Provider Identifier
1457409872
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11889 Issued in CA
Practice address
12000 Enterprise Dr
Auburn, CA 95603-3730
Phone
(530) 888-8771
Fax
(530) 888-8772
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC11889 CA Primary

Addresses

Primary practice location

12000 Enterprise Dr
Auburn, CA 95603-3730

Mailing address

12000 Enterprise Dr
Auburn, CA 95603-3730
Phone (530) 888-8771

Other identifiers 2

IdentifierTypeStateIssuer
509038OtherCAFIRST HEALTH
DC11889OtherCALICENSE

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
DC11889CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Chiropractic Chiropractor Past Accepting new patients

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1457409872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ENTERPRISE DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033730",
            "telephone_number": "530-888-8771",
            "fax_number": "530-888-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ENTERPRISE DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033730",
            "telephone_number": "530-888-8771",
            "fax_number": "530-888-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBALSO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "509038",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC11889",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.