Individual provider Active NPI

Andreana Mevoli, DC

  • Chiropractor
  • Berkeley, CA
National Provider Identifier
1477697969
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30497 Issued in CA
Practice address
2000 Hearst Ave # 201
Berkeley, CA 94709-2130
Phone
(510) 704-1505
Fax
(510) 704-1508
NPI assigned
Feb 16, 2007
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 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 DC-30497 CA Primary

Addresses

Primary practice location

2000 Hearst Ave # 201
Berkeley, CA 94709-2130

Mailing address

2000 Hearst Ave # 201
Berkeley, CA 94709-2130
Phone (510) 704-1505

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

State licenses

LicenseStateTypeSpecialty
DC-30497CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1477697969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEARST AVE # 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092130",
            "telephone_number": "510-704-1505",
            "fax_number": "510-704-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HEARST AVE # 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092130",
            "telephone_number": "510-704-1505",
            "fax_number": "510-704-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEVOLI",
        "first_name": "ANDREANA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.