Individual provider Active NPI

Eugene Plotitsa, DC

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1740620574
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32415 Issued in CA
Practice address
2480 Mission St Ste 331
San Francisco, CA 94110-2487
Phone
(415) 282-6490
Fax
(415) 282-6491
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32415 CA Primary

Addresses

Primary practice location

2480 Mission St Ste 331
San Francisco, CA 94110-2487

Mailing address

2480 Mission St Ste 331
San Francisco, CA 94110-2487
Phone (415) 282-6490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000132 CA Practitioner - Chiropractic 7618117862 Practice locations: Pacifica, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 Manor Dr
Suite E
Pacifica, CA 94044-1958
Phone (650) 355-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32415CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1740620574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST STE 331",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102487",
            "telephone_number": "415-282-6490",
            "fax_number": "415-282-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST STE 331",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102487",
            "telephone_number": "415-282-6490",
            "fax_number": "415-282-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTITSA",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32415",
            "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 25, 2013; 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.