Active NPI
Rheamay Odvina
- Chiropractor
- Seal Beach, CA
National Provider Identifier
1770003410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33942
- Practice address
- 12501 Seal Beach Blvd Ste 160
Seal Beach, CA 90740-2706 - Phone
- (562) 596-6000
- Fax
- (562) 596-6040
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- 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 | 33942 | CA | Primary |
Addresses
Primary practice location
12501 Seal Beach Blvd Ste 160
Seal Beach, CA 90740-2706
Mailing address
15120 Rancho Clemente Dr
Paramount, CA 90723-4574
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33942 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braithwaite Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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
- Seal Beach, CA
- NPI 1679992564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1770003410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15120 RANCHO CLEMENTE DR",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12501 SEAL BEACH BLVD STE 160",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907402706",
"telephone_number": "562-596-6000",
"fax_number": "562-596-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODVINA",
"first_name": "RHEAMAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.