Individual provider Active NPI

Stephanie T Emi, D.C.

  • Orthopedic Chiropractor
  • La Crescenta, CA
National Provider Identifier
1720119084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
17676 Issued in CA
Practice address
2948 Honolulu Ave
La Crescenta, CA 91214-3909
Phone
(818) 249-6623
Fax
(818) 249-6623
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 17676 CA Primary

Addresses

Primary practice location

2948 Honolulu Ave
La Crescenta, CA 91214-3909

Mailing address

2948 Honolulu Ave
La Crescenta, CA 91214-3909
Phone (818) 249-6623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000125 CA Practitioner - Chiropractic 4688725120 Practice locations: La Crescenta, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2948 Honolulu Ave
La Crescenta, CA 91214-3909
Phone (818) 249-6623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17676CAMDOrthopedic Chiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720119084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143909",
            "telephone_number": "818-249-6623",
            "fax_number": "818-249-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 HONOLULU AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143909",
            "telephone_number": "818-249-6623",
            "fax_number": "818-249-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMI",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "17676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.