Active NPI
Michael Billauer, D.C.
- Chiropractor
- Marina del Rey, CA
National Provider Identifier
1750461596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC13936
- Practice address
- 2901 Washington Blvd
Marina del Rey, CA 90292-5546 - Phone
- (310) 306-1983
- Fax
- (310) 306-8059
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC13936 | CA | Primary |
Addresses
Primary practice location
2901 Washington Blvd
Marina del Rey, CA 90292-5546
Mailing address
2901 Washington Blvd
Marina del Rey, CA 90292-5546
Phone (310) 306-1983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-3967418 | Other | CA | TAX ID |
| DC13936 | Other | CA | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13936 | CA | MD | Occupational Therapist |
Organizations & group practices 1
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.
-
- Chiropractor
- Marina del Rey, CA
- NPI 1508122342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750461596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 WASHINGTON BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925546",
"telephone_number": "310-306-1983",
"fax_number": "310-306-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 WASHINGTON BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925546",
"telephone_number": "310-306-1983",
"fax_number": "310-306-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLAUER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC13936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-3967418",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "DC13936",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.