Individual provider Active NPI

Rayna Estelle Kamerzell, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1487765012
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29977 Issued in CA
Practice address
2100 Monument Blvd
Suite 17
Pleasant Hill, CA 94523-3489
Phone
(925) 676-9245
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29977 CA Primary

Addresses

Primary practice location

2100 Monument Blvd
Suite 17
Pleasant Hill, CA 94523-3489

Mailing address

3128 Santa Rita Rd
Pleasanton, CA 94566-8300
Phone (925) 350-4742

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
29977CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1487765012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668300",
            "telephone_number": "925-350-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD",
            "address_2": "SUITE 17",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233489",
            "telephone_number": "925-676-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMERZELL",
        "first_name": "RAYNA",
        "middle_name": "ESTELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.