Individual provider Active NPI

Pete Zavacki, DC

  • Radiology Chiropractor
  • Campbell, CA
National Provider Identifier
1700807823
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
CA22221 Issued in CA
Practice address
75 S San Tomas Aquino Rd
Suite 3
Campbell, CA 95008-2575
Phone
(408) 370-2181
Fax
(408) 370-2088
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X CA22221 CA Primary

Addresses

Primary practice location

75 S San Tomas Aquino Rd
Suite 3
Campbell, CA 95008-2575

Mailing address

75 S San Tomas Aquino Rd
Suite 3
Campbell, CA 95008-2575
Phone (408) 370-2181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000751 CA Practitioner - Chiropractic 9234193293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

665 New York Ranch Rd
Suite 1
Jackson, CA 95642-9332
Phone (209) 223-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA22221CAMDRadiology Chiropractor
22221CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Sienes Chiropractic Corporation CurrentSince May 1, 2017 Accepting new patients
Pete Zavacki Chiropractic, Inc Past Accepting new patients

Locations

665 New York Ranch Rd
Ste 1
Jackson, CA 95642
Phone (209) 223-2225

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1700807823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S SAN TOMAS AQUINO RD",
            "address_2": "SUITE 3",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082575",
            "telephone_number": "408-370-2181",
            "fax_number": "408-370-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S SAN TOMAS AQUINO RD",
            "address_2": "SUITE 3",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082575",
            "telephone_number": "408-370-2181",
            "fax_number": "408-370-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVACKI",
        "first_name": "PETE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "CA22221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.