Individual provider Active NPI

Rocky Allen Cozzo, D.C.

  • Chiropractor
  • Angels Camp, CA
National Provider Identifier
1598819757
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25682 Issued in CA
Practice address
1209 Highway 49
Angels Camp, CA 95222-1296
Phone
(209) 736-2819
Fax
(209) 736-1544
NPI assigned
Jan 23, 2007
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25682 CA Primary

Addresses

Primary practice location

1209 Highway 49
Angels Camp, CA 95222-1296

Mailing address

PO Box 1296
Angels Camp, CA 95222-1296
Phone (209) 736-2819

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
DC25682CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1598819757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952221296",
            "telephone_number": "209-736-2819",
            "fax_number": "209-736-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HIGHWAY 49",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952221296",
            "telephone_number": "209-736-2819",
            "fax_number": "209-736-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZO",
        "first_name": "ROCKY",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angels Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.