Active NPI
Janet Marie Ferolito, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1508893413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21784
- Practice address
- 205 Judith LN
Modesto, CA 95350 - Phone
- (209) 577-1320
- Fax
- (209) 577-4998
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21784 | CA | Primary |
Addresses
Primary practice location
205 Judith LN
Modesto, CA 95350
Mailing address
205 Judith LN
Modesto, CA 95350-4413
Phone (209) 577-1320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77-0429106 | Other | CA | FED.ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080307000615 | CA | Practitioner - Chiropractic | 2062597586 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 Judith LN
Modesto, CA 95350-4413
Phone (209) 577-1320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21784 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1508893413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 JUDITH LN",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504413",
"telephone_number": "209-577-1320",
"fax_number": "209-577-4998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 JUDITH LN",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-577-1320",
"fax_number": "209-577-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEROLITO",
"first_name": "JANET",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED.ID #",
"identifier": "77-0429106",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.