Evangelyn Faith Di Bacco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

35150 Issued in CA

Practice address

2421 Park Blvd Ste B205
Palo Alto, CA 94306-1956

Phone

(408) 248-8700

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mati Custom Chiropractic Corporation

  • Chiropractor
  • Santa Clara, CA
  • NPI 1831754407
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1891403200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RIO ROBLES E UNIT 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341667",
            "telephone_number": "408-242-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 PARK BLVD STE B205",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061956",
            "telephone_number": "408-248-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Thomas Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950542063",
            "country_code": "US",
            "telephone_number": "408-248-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI BACCO",
        "first_name": "EVANGELYN",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehak Dhande, MD
• Romika Dhar, MD
• Amreep Dhillon, DPM
• Gundeep Singh Dhillon, MD
• Gurpreet Singh Dhillon, MD
• Shauna Danielle Di Bari, MSN, CPNP-AC
• Michelle Di Montagna, LAC
• Marie A. Di Pasquale
• Michelle Kara Foosaner Diamond, PT
• Virginia Heitman Diamond, CCP

• Chiropractor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.