Individual provider Active NPI

Victoria Santelises, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1508613225
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36967 Issued in CA
Practice address
380 Civic Dr Ste 200a
Pleasant Hill, CA 94523-1958
Phone
(925) 858-0032
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36967 CA Primary

Addresses

Primary practice location

380 Civic Dr Ste 200a
Pleasant Hill, CA 94523-1958

Mailing address

4273 Goldenhill Dr
Pittsburg, CA 94565-6210
Phone (925) 858-0032

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
36967CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1508613225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 GOLDENHILL DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945656210",
            "telephone_number": "925-858-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CIVIC DR STE 200A",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231958",
            "telephone_number": "925-858-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELISES",
        "first_name": "VICTORIA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36967",
            "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 May 17, 2024; 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.