Active NPI
Victoria Reyzelman, D.C.
- Chiropractor
- San Francisco, CA
National Provider Identifier
1477585065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28017
- Practice address
- 220 Montgomery St Ste 305
San Francisco, CA 94104-3444 - Phone
- (415) 677-9900
- Fax
- (415) 358-5803
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28017 | CA | Primary |
Addresses
Primary practice location
220 Montgomery St Ste 305
San Francisco, CA 94104-3444
Mailing address
4245 Lilac Ridge Rd
San Ramon, CA 94582-5019
Phone (925) 735-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317000569 | CA | Practitioner - Chiropractic | 0446149819 | Practice locations: San Francisco, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28017 | CA | MD | Chiropractor |
| 28017 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477585065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 LILAC RIDGE RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825019",
"telephone_number": "925-735-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MONTGOMERY ST STE 305",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043444",
"telephone_number": "415-677-9900",
"fax_number": "415-358-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYZELMAN",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.