Individual provider Active NPI

Rachael Corsano, D.C.

  • Chiropractor
  • San Anselmo, CA
National Provider Identifier
1770516783
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26700 Issued in CA
Practice address
6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040
Phone
(145) 454-1700
Fax
(415) 454-1700
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26700 CA Primary

Addresses

Primary practice location

6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040

Mailing address

6 Bridge St
Suite 2a
San Anselmo, CA 94960-2040
Phone (145) 454-1700

Other identifiers 1

IdentifierTypeStateIssuer
680482852OtherCATAX ID

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

LicenseStateTypeSpecialty
DC26700CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Imaging PastSince May 16, 2002 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1770516783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRIDGE ST",
            "address_2": "SUITE 2A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602040",
            "telephone_number": "145-454-1700",
            "fax_number": "415-454-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIDGE ST",
            "address_2": "SUITE 2A",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602040",
            "telephone_number": "145-454-1700",
            "fax_number": "415-454-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSANO",
        "first_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680482852",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.