Individual provider Active NPI

Marcus A Carloni, D.C.

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1669189544
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36491 Issued in CA
Practice address
1231 Monaco CT
Stockton, CA 95207-6704
Phone
(209) 957-1035
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36491 CA Primary

Addresses

Primary practice location

1231 Monaco CT
Stockton, CA 95207-6704

Mailing address

1231 Monaco CT
Stockton, CA 95207-6704
Phone (209) 957-1035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215002327 CA Practitioner - Chiropractic 1951770833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carloni Chiropractic Offices IncGroup PAC ID 1153798582, 2 clinicians

Practice addresses (Care Compare)

1231 Monaco CT
Stockton, CA 95207-6704
Phone (209) 957-1035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36491CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carloni Chiropractic Offices Inc Chiropractor CurrentSince Oct 27, 2022 Accepting new patients
Carloni Chiropractic Offices Chiropractor PastSince Oct 27, 2022 Accepting new patients

Locations

1231 Monaco Ct
Stockton, CA 95207
Phone (209) 957-1032

Organizations & group practices 2

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1669189544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 MONACO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076704",
            "telephone_number": "209-957-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 MONACO CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076704",
            "telephone_number": "209-957-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLONI",
        "first_name": "MARCUS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.