Individual provider Active NPI

Anthony George Baratta, DC

  • Chiropractor
  • Carmichael, CA
National Provider Identifier
1730209586
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24081 Issued in CA
Practice address
6728 Fair Oaks Blvd
300
Carmichael, CA 95608-3827
Phone
(916) 979-0716
Fax
(916) 979-0108
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24081 CA Primary

Addresses

Primary practice location

6728 Fair Oaks Blvd
300
Carmichael, CA 95608-3827

Mailing address

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618-6705
Phone (949) 598-9999

Other identifiers 4

IdentifierTypeStateIssuer
1417126293OtherCAGROUP NPI
DC0240811OtherCAINDIVIDUAL PTAN
ZZZ07746ZOtherCAGROUP PTAN
DC24081OtherCACHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920001208 CA Practitioner - Chiropractic 8628046463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6728 Fair Oaks Blvd
Suite 300
Carmichael, CA 95608-3847
Phone (916) 797-0716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC24081CAMDChiropractor
24081CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baratta Chiropractic Inc Chiropractor CurrentSince Sep 29, 2003 Accepting new patients
Beavers Better Health Chiropractic, Inc. PastSince Jan 1, 2020 Accepting new patients
Lifeline Acupuncture & Herbs Clinic PastSince Sep 29, 2003 Accepting new patients

Locations

6728 Fair Oaks Blvd
Ste 300
Carmichael, CA 95608
Phone (916) 797-0716

5707 Marconi Ave
Ste D
Carmichael, CA 95608
Phone (916) 489-5450

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

15550 Rockfield Blvd
Ste B220
Irvine, CA 92618

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1730209586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD",
            "address_2": "STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 FAIR OAKS BLVD",
            "address_2": "300",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083827",
            "telephone_number": "916-979-0716",
            "fax_number": "916-979-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARATTA",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417126293",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "DC0240811",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ07746Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC24081",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.