Individual provider Active NPI

Manuel Ernesto Valle, D.C.

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1912184391
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30801 Issued in CA
Practice address
2165 Fourth St Ste a
Livermore, CA 94550-4569
Phone
(925) 292-5850
Fax
(925) 449-1302
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30801 CA Primary

Addresses

Primary practice location

2165 Fourth St Ste a
Livermore, CA 94550-4569

Mailing address

2165 Fourth St Ste a
Livermore, CA 94550-4569
Phone (925) 292-5850

Other practice location 1

37161 Niles Blvd Unit C
Fremont, CA 94536-1612
Phone (925) 292-5850

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30801CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Sports and Family Chiropractic Chiropractor PastSince Sep 27, 2020 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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1912184391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 FOURTH ST STE A",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504569",
            "telephone_number": "925-292-5850",
            "fax_number": "925-449-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 FOURTH ST STE A",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504569",
            "telephone_number": "925-292-5850",
            "fax_number": "925-449-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37161 Niles Blvd Unit C",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945361612",
            "country_code": "US",
            "telephone_number": "925-292-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "MANUEL",
        "middle_name": "ERNESTO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.