Active NPI
Ariel F Provasoli, DC
- Pediatric Chiropractor
- Berkeley, CA
National Provider Identifier
1922478155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- DC32734
- Practice address
- 2900 Telegraph Ave
Berkeley, CA 94705-2018 - Phone
- (360) 402-4550
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | DC32734 | CA | Primary |
Addresses
Primary practice location
2900 Telegraph Ave
Berkeley, CA 94705-2018
Mailing address
231 29TH St
Apt 23
Oakland, CA 94611-5943
Phone (360) 402-4550
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC32734 | CA | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1922478155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 29TH ST",
"address_2": "APT 23",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115943",
"telephone_number": "360-402-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052018",
"telephone_number": "360-402-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVASOLI",
"first_name": "ARIEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "DC32734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
- Lonnie Prince, L.C.S.W.
- Hannah Prior
- Private Healthcare Facilities
- Private Pediatrics Incorporated
- Kieu Phuong Proud
- Ben C Pryor, CADCA
- Alison Psiuk, MA
- Psychosocial Therapy Licensed Marriage and Family Therapists Inc. (PsychoSocial Therapy)
- Psychplus Associates of California PC
- Anne Frances Pugh, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.