Active NPI
Wayne Press, DC
- Orthopedic Chiropractor
- Simi Valley, CA
National Provider Identifier
1669546115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 18197
- Practice address
- 495 E Los Angeles Ave
Ste 106
Simi Valley, CA 93065-7706 - Phone
- (805) 527-7246
- Fax
- (805) 527-9648
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 18197 | CA | Primary |
Addresses
Primary practice location
495 E Los Angeles Ave
Ste 106
Simi Valley, CA 93065-7706
Mailing address
495 E Los Angeles Ave
Ste 106
Simi Valley, CA 93065-7706
Phone (805) 527-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130213000114 | CA | Practitioner - Chiropractic | 5496909897 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18197 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669546115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 E LOS ANGELES AVE",
"address_2": "STE 106",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930657706",
"telephone_number": "805-527-7246",
"fax_number": "805-527-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 E LOS ANGELES AVE",
"address_2": "STE 106",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930657706",
"telephone_number": "805-527-7246",
"fax_number": "805-527-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESS",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "18197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.