Active NPI
Irina Velichko, D.C.
- Chiropractor
- Oakland, CA
National Provider Identifier
1710379383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33186
- Practice address
- 435 8TH St Ste 203
Oakland, CA 94607-3965 - Phone
- (510) 858-5370
- Fax
- (510) 868-5405
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33186 | CA | Primary |
Addresses
Primary practice location
435 8TH St Ste 203
Oakland, CA 94607-3965
Mailing address
435 8TH St Ste 203
Oakland, CA 94607-3965
Phone (510) 858-5370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33186 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glass Velichko Chiropractic P.C. | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1710379383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 8TH ST STE 203",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073965",
"telephone_number": "510-858-5370",
"fax_number": "510-868-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 8TH ST STE 203",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073965",
"telephone_number": "510-858-5370",
"fax_number": "510-868-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELICHKO",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.