Amy Catherine Vevoda, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32517 Issued in CA

Practice address

645 Old Mammoth Rd
Mammoth Lakes, CA 93546

Phone

(530) 227-3525

Fax

(760) 544-6106

NPI assigned

Jul 19, 2006

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incline Village Chiropractic LLCGroup PAC ID 0749605087, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Incline Village Chiropractic LLC

  dba Incline Chiropractic

  • Chiropractor
  • Incline VLG, NV
  • NPI 1851925226
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1740209931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8895",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935468861",
            "telephone_number": "530-227-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 OLD MAMMOTH RD",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "530-227-3525",
            "fax_number": "760-544-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEVODA",
        "first_name": "AMY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01762",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Elizabeth Thompson, PH.D.
• Thrifty Payless Inc (Rite Aid Pharmacy 05842)
• Pon Tingsuk, PPS
• Brittaney Bich-Hanh Khong Vargas, MD
• Kwinuah Kelly John Vega
• Andres Villalpando
• Sandra Janet Villalpando, LCSW
• Shelly Ann Vinatieri, NP
• Vons Companies Inc (Vons Pharmacy #2400)
• Jennie Walker, MD

• Chiropractor in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.