Active NPI
Azzolino Chiropractic Neurology & Integrative Wellness, Inc
- Neurology Chiropractor
- San Francisco, CA
National Provider Identifier
1730223371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC23733
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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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.