Active NPI
Pamela Sue Masich, D.C.
- Chiropractor
- Santa Cruz, CA
National Provider Identifier
1932304987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18139
- Practice address
- 1140 Chanticleer Ave
Santa Cruz, CA 95062-3510 - Phone
- (831) 476-8442
- Fax
- (831) 476-8442
- NPI assigned
- Jun 19, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18139 | CA | Primary |
Addresses
Primary practice location
1140 Chanticleer Ave
Santa Cruz, CA 95062-3510
Mailing address
1140 Chanticleer Ave
Santa Cruz, CA 95062-3510
Phone (831) 476-8442
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC18139 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932304987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950623510",
"telephone_number": "831-476-8442",
"fax_number": "831-476-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950623510",
"telephone_number": "831-476-8442",
"fax_number": "831-476-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASICH",
"first_name": "PAMELA",
"middle_name": "SUE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, 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.