Active NPI
Doug Riccio
- Rehabilitation Chiropractor
- Los Angeles, CA
National Provider Identifier
1699146126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 30111
- Practice address
- 418 N Larchmont Blvd
Los Angeles, CA 90004-3014 - Phone
- (323) 378-6333
- Fax
- (323) 378-6333
- NPI assigned
- Oct 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 30111 | CA | Primary |
Addresses
Primary practice location
418 N Larchmont Blvd
Los Angeles, CA 90004-3014
Mailing address
418 N Larchmont Blvd
Los Angeles, CA 90004-3014
Phone (323) 378-6333
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1699146126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043014",
"telephone_number": "323-378-6333",
"fax_number": "323-378-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043014",
"telephone_number": "323-378-6333",
"fax_number": "323-378-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIO",
"first_name": "DOUG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "30111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.