Individual provider Active NPI

Marta Callotta, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1750559175
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24681 Issued in CA
Practice address
3434 N Los Coyotes Diagonal
Long Beach, CA 90808-2915
Phone
(562) 938-8770
Fax
(562) 938-8762
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24681 CA Primary

Addresses

Primary practice location

3434 N Los Coyotes Diagonal
Long Beach, CA 90808-2915

Mailing address

3434 N Los Coyotes Diagonal
Long Beach, CA 90808-2915
Phone (562) 938-8770

Other identifiers 1

IdentifierTypeStateIssuer
DC24681OtherCALICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000326 CA Practitioner - Chiropractic 0941469951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3434 N Los Coyotes Diagonal
Long Beach, CA 90808-2915
Phone (562) 938-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24681CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Spine & Rehabilitation CurrentSince Oct 8, 2011 Accepting new patients
Long Beach Spine & Rehabilitation Chiropractic Health Center Chiropractor PastSince Oct 8, 2011 Accepting new patients

Locations

3434 N Los Coyotes Diagonal
Long Beach, CA 90808
Phone (562) 938-8770

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1750559175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 N LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082915",
            "telephone_number": "562-938-8770",
            "fax_number": "562-938-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 N LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082915",
            "telephone_number": "562-938-8770",
            "fax_number": "562-938-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLOTTA",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DC24681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.