Individual provider Active NPI

Emmanuel Victor Parenteaa, DC

  • Chiropractor
  • Santa Rosa, CA
National Provider Identifier
1730183666
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29218 Issued in CA
Practice address
1175 W Steele LN
Ste 4
Santa Rosa, CA 95403-3553
Phone
(707) 578-4156
Fax
(707) 578-0723
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29218 CA Primary

Addresses

Primary practice location

1175 W Steele LN
Ste 4
Santa Rosa, CA 95403-3553

Mailing address

1175 W Steele LN
Ste 4
Santa Rosa, CA 95403-3553
Phone (707) 578-4156

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 29218CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Judevine Chiropractic & Rehabilitation Clinic Inc. Chiropractor PastSince Jan 3, 2012 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730183666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 W STEELE LN",
            "address_2": "STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033553",
            "telephone_number": "707-578-4156",
            "fax_number": "707-578-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W STEELE LN",
            "address_2": "STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033553",
            "telephone_number": "707-578-4156",
            "fax_number": "707-578-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTEAA",
        "first_name": "EMMANUEL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.