Individual provider Active NPI

Anthony L Bocchino

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1790930139
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18336 Issued in CA
Practice address
17897 Macarthur Blvd
Ste 101
Irvine, CA 92614-0532
Phone
(949) 251-9355
Fax
(949) 251-0329
NPI assigned
Nov 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 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 18336 CA Primary

Addresses

Primary practice location

17897 Macarthur Blvd
Ste 101
Irvine, CA 92614-0532

Mailing address

17897 Macarthur Blvd
Ste 101
Irvine, CA 92614-0532
Phone (949) 251-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090610000188 CA Practitioner - Chiropractic 7416013750 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17897 Macarthur Blvd
Suite 101
Irvine, CA 92614-0532
Phone (949) 251-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18336CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bocchino Chiropractic Inc Chiropractor Past Accepting new patients
Bocchino Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1790930139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17897 MACARTHUR BLVD",
            "address_2": "STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140532",
            "telephone_number": "949-251-9355",
            "fax_number": "949-251-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17897 MACARTHUR BLVD",
            "address_2": "STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140532",
            "telephone_number": "949-251-9355",
            "fax_number": "949-251-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCHINO",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-26",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.