Individual provider Active NPI

Steven Capobianco, D.C., CCSP

  • Sports Physician Chiropractor
  • Los Gatos, CA
National Provider Identifier
1467605220
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
29205 Issued in CA
Practice address
51 University Ave
Suite I
Los Gatos, CA 95030-6037
Phone
(408) 480-2794
Fax
(408) 265-2989
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 29205 CA Primary

Addresses

Primary practice location

51 University Ave
Suite I
Los Gatos, CA 95030-6037

Mailing address

51 University Ave
Suite I
Los Gatos, CA 95030-6037
Phone (408) 480-2794

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1467605220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UNIVERSITY AVE",
            "address_2": "SUITE I",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306037",
            "telephone_number": "408-480-2794",
            "fax_number": "408-265-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UNIVERSITY AVE",
            "address_2": "SUITE I",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306037",
            "telephone_number": "408-480-2794",
            "fax_number": "408-265-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "29205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.