Individual provider Active NPI

Michael Nicholas Budincich, D.C.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1699711077
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-13956 Issued in CA
Practice address
140 N Hill Ave
Pasadena, CA 91106-1907
Phone
(818) 792-3390
Fax
(626) 792-8302
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X QME 006232 CA
Chiropractor 111N00000X DC-13956 CA Primary

Addresses

Primary practice location

140 N Hill Ave
Pasadena, CA 91106-1907

Mailing address

140 N Hill Ave
Pasadena, CA 91106-1907
Phone (818) 792-3390

Other identifiers 1

IdentifierTypeStateIssuer
1770764474OtherCANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000250 CA Practitioner - Chiropractic 4789741919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 N Hill Ave
Pasadena, CA 91106-1907
Phone (626) 792-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-13956CAMDChiropractor
QME 006232CAMDOccupational Health Chiropractor
13956CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Budincich Chiropractic Clinic, Inc Chiropractor CurrentSince Jul 31, 1985 Accepting new patients

Locations

140 N Hill Ave
Pasadena, CA 91106
Phone (626) 792-3390

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1699711077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061907",
            "telephone_number": "818-792-3390",
            "fax_number": "626-792-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N HILL AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061907",
            "telephone_number": "818-792-3390",
            "fax_number": "626-792-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDINCICH",
        "first_name": "MICHAEL",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "QME 006232",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-13956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770764474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.