Active NPI
Tracy Diane Stell, D.C.
- Chiropractor
- El Segundo, CA
National Provider Identifier
1720250277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23997
- Practice address
- 2250 Park PL
El Segundo, CA 90245-4908 - Phone
- (310) 643-6569
- Fax
- (310) 643-5776
- NPI assigned
- Mar 25, 2008
- Last updated
- Mar 25, 2008
- 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 | 23997 | CA | Primary |
Addresses
Primary practice location
2250 Park PL
El Segundo, CA 90245-4908
Mailing address
1601 21St St
Manhattan Beach, CA 90266-4040
Phone (310) 643-6569
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 |
|---|---|---|---|
| 23997 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1720250277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 21ST ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664040",
"telephone_number": "310-643-6569",
"fax_number": "310-643-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 PARK PL",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454908",
"telephone_number": "310-643-6569",
"fax_number": "310-643-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELL",
"first_name": "TRACY",
"middle_name": "DIANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.