Active NPI
Pete Zavacki, DC
- Radiology Chiropractor
- Campbell, CA
National Provider Identifier
1700807823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- CA22221
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CA22221 | CA | MD | Radiology Chiropractor |
| 22221 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Sienes Chiropractic Corporation | Current | 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.
-
- Chiropractor
- San Diego, CA
- NPI 1982042123
-
dba Health Within Chiropractic
- Chiropractor
- Campbell, CA
- NPI 1285819276
-
- Chiropractor
- Jackson, CA
- NPI 1053409821
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.