Individual provider Active NPI

Ali Tootoonchi, D.C.

  • Chiropractor
  • Cupertino, CA
National Provider Identifier
1639187982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29011 Issued in CA
Practice address
19028 Stevens Creek Blvd Ste D
Cupertino, CA 95014-2563
Phone
(408) 655-2523
Fax
(408) 996-9683
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29011 CA Primary

Addresses

Primary practice location

19028 Stevens Creek Blvd Ste D
Cupertino, CA 95014-2563

Mailing address

19028 Stevens Creek Blvd Ste D
Cupertino, CA 95014-2563
Phone (408) 655-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000760 CA Practitioner - Chiropractic 7012902562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 W Hamilton Ave
Campbell, CA 95008-0558
Phone (408) 655-2523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29011CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tootoonchi Chiropractic Inc. Chiropractor CurrentSince Jul 5, 2016 Accepting new patients

Locations

225 W Hamilton Ave
Campbell, CA 95008
Phone (408) 655-2523

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639187982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD STE D",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142563",
            "telephone_number": "408-655-2523",
            "fax_number": "408-996-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD STE D",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142563",
            "telephone_number": "408-655-2523",
            "fax_number": "408-996-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTOONCHI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.