Individual provider Active NPI

Renaldo P Pili, D.C.

  • Chiropractor
  • El Monte, CA
National Provider Identifier
1669915567
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22123 Issued in CA
Practice address
11100 Valley Blvd Ste 109
El Monte, CA 91731-2533
Phone
(626) 448-0400
Fax
(626) 448-0406
NPI assigned
Nov 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22123 CA Primary
Independent Medical Examiner Chiropractor 111NI0013X DC22123 CA

Addresses

Primary practice location

11100 Valley Blvd Ste 109
El Monte, CA 91731-2533

Mailing address

11100 Valley Blvd Ste 109
El Monte, CA 91731-2533
Phone (626) 448-0400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC22123CAMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1669915567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD STE 109",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312533",
            "telephone_number": "626-448-0400",
            "fax_number": "626-448-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD STE 109",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312533",
            "telephone_number": "626-448-0400",
            "fax_number": "626-448-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILI",
        "first_name": "RENALDO",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22123",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC22123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.