Individual provider Active NPI

Iannick Remillard, DC,CCSP, ATC

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1881226116
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34734 Issued in CA
Practice address
480 California Ave Ste 103
Palo Alto, CA 94306-1607
Phone
(650) 321-7193
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34734 CA Primary

Addresses

Primary practice location

480 California Ave Ste 103
Palo Alto, CA 94306-1607

Mailing address

480 California Ave Ste 103
Palo Alto, CA 94306-1607
Phone (650) 321-7193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216001230 CA Practitioner - Chiropractic 7517336332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Enterprises - a Chiropractic Corporation Chiropractor CurrentSince Dec 1, 2025 Accepting new patients
Integrated Health Care Chiropractor PastSince Nov 18, 2025 Accepting new patients
Adam Jacobs Inc. Chiropractor PastSince Feb 1, 2020 Accepting new patients

Locations

480 California Ave
Ste 103
Palo Alto, CA 94306
Phone (650) 321-7193

Organizations & group practices 3

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1881226116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CALIFORNIA AVE STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061607",
            "telephone_number": "650-321-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CALIFORNIA AVE STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061607",
            "telephone_number": "650-321-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "IANNICK",
        "name_prefix": "Dr.",
        "credential": "DC,CCSP, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.