Active NPI
Susanville Chiropractic Clinic
- Chiropractor
- Susanville, CA
National Provider Identifier
1619443322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SUSANVILLE CHIROPRACTIC CLINIC
- Practice address
- 1723 1St St
Susanville, CA 96130-4531 - Phone
- (530) 257-7751
- Fax
- (530) 252-4378
- NPI assigned
- Oct 19, 2018
- Last updated
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Branvold, D.C.
- Title
- Owner/Chiropractor
- Phone
- (530) 249-3089
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
1723 1St St
Susanville, CA 96130-4531
Mailing address
1723 1St St
Susanville, CA 96130-4531
Phone (530) 257-7751
National Provider Directory
National Provider DirectoryLocations
1723 1st St
Susanville, CA 96130
Phone (530) 257-7751
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Susanville, CA
- NPI 1134251358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1619443322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 1ST ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304531",
"telephone_number": "530-257-7751",
"fax_number": "530-252-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 1ST ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304531",
"telephone_number": "530-257-7751",
"fax_number": "530-252-4378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSANVILLE CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-19",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "BRANVOLD",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "530-249-3089",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
- Carmen Anna Stra
- Maryjo Streible
- Dennis Dale Struve, DDS
- Rachelle Marie Surian, RN, BSN
- Toni Surian
- Susanville Dental Care
- Susanville Family Pharmacy Inc
- Susanville Hospital Company LLC (Lassen Regional Medical Center)
- Susanville Hospital Company LLC (Lassen Regional Medical Center)
- Susanville Indian Rancheria (Lassen Indian Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.