Active NPI
Dalvir S Atwal, DC
- Chiropractor
- Manteca, CA
National Provider Identifier
1558094961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36383
- Practice address
- 130 N Grant Ave
Manteca, CA 95336-4601 - Phone
- (209) 832-9221
- NPI assigned
- Jul 4, 2022
- Sex
- Male
- 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 | DC36383 | CA | Primary |
Addresses
Primary practice location
130 N Grant Ave
Manteca, CA 95336-4601
Mailing address
438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone (209) 832-9221
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC36383 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrido, Russell & Coykendall Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Manteca, CA
- NPI 1659729051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656892800000",
"number": "1558094961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 W BEVERLY PL STE 101",
"city": "TRACY",
"state": "CA",
"postal_code": "953763011",
"telephone_number": "209-832-9221",
"fax_number": "209-832-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N GRANT AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364601",
"telephone_number": "209-832-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWAL",
"first_name": "DALVIR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-04",
"last_updated": "2022-07-04",
"certification_date": "2022-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.