NPIMap

Individual provider Active NPI

Trevor Nabholz, D.C

  • Chiropractor
  • Rancho Cordova, CA
National Provider Identifier
1881966273
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24908 Issued in CA
Practice address
2708 Mercantile Dr.
Rancho Cordova, CA 95742
Phone
(408) 420-2447
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 24908 CA Primary

Addresses

Primary practice location

2708 Mercantile Dr.
Rancho Cordova, CA 95742

Mailing address

2708 Mercantile Dr.
Rancho Cordova, CA 95742
Phone (408) 420-2447

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

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Way Accident and Injury Clinic PS Chiropractor Current Accepting new patients
Sacramento Medical Group Past 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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1881966273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 MERCANTILE DR.",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95742",
            "telephone_number": "408-420-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 MERCANTILE DR.",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95742",
            "telephone_number": "408-420-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABHOLZ",
        "first_name": "TREVOR",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.