Individual provider Active NPI

Ellen A Rencher, D.C.

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1508057704
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24570DC Issued in GA
Practice address
985 University Ave
Ste. 36
Los Gatos, CA 95032-7639
Phone
(408) 399-5678
Fax
(408) 399-4655
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24570DC GA Primary

Addresses

Primary practice location

985 University Ave
Ste. 36
Los Gatos, CA 95032-7639

Mailing address

985 University Ave
Ste. 36
Los Gatos, CA 95032-7639
Phone (408) 399-5678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000474 CA Practitioner - Chiropractic 5698785467 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

985 University Ave
Suite 36
Los Gatos, CA 95032-7639
Phone (408) 399-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24570DCGAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1508057704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 UNIVERSITY AVE",
            "address_2": "STE. 36",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327639",
            "telephone_number": "408-399-5678",
            "fax_number": "408-399-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 UNIVERSITY AVE",
            "address_2": "STE. 36",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327639",
            "telephone_number": "408-399-5678",
            "fax_number": "408-399-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENCHER",
        "first_name": "ELLEN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "24570DC",
            "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 Aug 5, 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.