Individual provider Active NPI

Todd E. Drevo, D.O.

  • Chiropractor
  • Brea, CA
National Provider Identifier
1891855417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19761 Issued in CA
Practice address
2500 E. Imperial Hwy. #164
Brea, CA 92821
Phone
(714) 255-9494
Fax
(714) 255-1019
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19761 CA Primary

Addresses

Primary practice location

2500 E. Imperial Hwy. #164
Brea, CA 92821

Mailing address

2500 E. Imperial Hwy. #164
Brea, CA 92821
Phone (714) 255-9494

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DC19761CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Chiropractic Group, Inc. Chiropractor PastSince Oct 5, 2005 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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891855417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E. IMPERIAL HWY. #164",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-255-9494",
            "fax_number": "714-255-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E. IMPERIAL HWY. #164",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-255-9494",
            "fax_number": "714-255-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVO",
        "first_name": "TODD",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.