Individual provider Active NPI

E Eugene Orlowsky, CHIROPRACTOR

  • Orthopedic Chiropractor
  • San Marino, CA
National Provider Identifier
1477639169
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
14181A Issued in CA
Practice address
2646 Mission St
San Marino, CA 91108-1638
Phone
(626) 441-2264
Fax
(626) 441-3533
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 14181A CA Primary

Addresses

Primary practice location

2646 Mission St
San Marino, CA 91108-1638

Mailing address

2646 Mission St
San Marino, CA 91108-1638
Phone (626) 441-2264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000768 CA Practitioner - Chiropractic 6800045303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gene Orlowsky D.C.Inc a Chiropractic CorporationGroup PAC ID 7517976889, 2 clinicians

Practice addresses (Care Compare)

2646 Mission St
San Marino, CA 91108-1638
Phone (626) 441-2264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14181CAMDMental Health Counselor
14181ACAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gene Orlowsky, D.C. Inc a Chiropractic Corporation CurrentSince Aug 30, 1984 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477639169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081638",
            "telephone_number": "626-441-2264",
            "fax_number": "626-441-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081638",
            "telephone_number": "626-441-2264",
            "fax_number": "626-441-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLOWSKY",
        "first_name": "E",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "14181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, 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.
  • 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.