Individual provider Active NPI

Soffhea K. Gervais, DC

  • Chiropractor
  • Santa Barbara, CA
National Provider Identifier
1922292192
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 18485 Issued in CA
Practice address
1725 State St Ste B
Santa Barbara, CA 93101-2598
Phone
(805) 883-8982
Fax
(805) 682-1365
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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 18485 CA Primary

Addresses

Primary practice location

1725 State St Ste B
Santa Barbara, CA 93101-2598

Mailing address

1725 State St Ste B
Santa Barbara, CA 93101-2598
Phone (805) 883-8982

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

State licenses

LicenseStateTypeSpecialty
DC 18485CAMDChiropractor
3116ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1922292192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 STATE ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012598",
            "telephone_number": "805-883-8982",
            "fax_number": "805-682-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 STATE ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012598",
            "telephone_number": "805-883-8982",
            "fax_number": "805-682-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "SOFFHEA",
        "middle_name": "K.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 18485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.