Organization Active NPI

Azzolino Chiropractic Neurology & Integrative Wellness, Inc

  • Neurology Chiropractor
  • San Francisco, CA
National Provider Identifier
1730223371
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC23733 Issued in CA
Legal business name
AZZOLINO CHIROPRACTIC NEUROLOGY & INTEGRATIVE WELLNESS, INC
Practice address
1545 Broadway Ste 1a
San Francisco, CA 94109-2598
Phone
(415) 563-3800
Fax
(415) 292-7911
NPI assigned
Feb 16, 2007
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Alisa Spivak
Title
Operations Manager
Phone
(415) 563-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC23733 CA Primary

Addresses

Primary practice location

1545 Broadway Ste 1a
San Francisco, CA 94109-2598

Mailing address

1545 Broadway Ste 1a
San Francisco, CA 94109-2598
Phone (415) 563-3800

Other practice location 1

1545 Broadway Ste 1A
San Francisco, CA 94109-2539
Phone (415) 563-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121107000661 CA Part B Supplier - Clinic/Group Practice 8921259532 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1730223371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BROADWAY STE 1A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092598",
            "telephone_number": "415-563-3800",
            "fax_number": "415-292-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BROADWAY STE 1A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092598",
            "telephone_number": "415-563-3800",
            "fax_number": "415-292-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Broadway Ste 1A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941092539",
            "country_code": "US",
            "telephone_number": "415-563-3800",
            "fax_number": "415-292-7911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZZOLINO CHIROPRACTIC NEUROLOGY & INTEGRATIVE WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SPIVAK",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "415-563-3800"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC23733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.