Active NPI
Carol Woo
- Chiropractor
- Watsonville, CA
National Provider Identifier
1952415986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 21176DC
- Practice address
- 734 E Lake Ave Ste 5
Watsonville, CA 95076-3567 - Phone
- (831) 722-3511
- Fax
- (831) 722-3345
- NPI assigned
- Aug 18, 2006
- 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 | 21176DC | CA | Primary |
Addresses
Primary practice location
734 E Lake Ave Ste 5
Watsonville, CA 95076-3567
Mailing address
734 E Lake Ave Ste 5
Watsonville, CA 95076-3567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080428000418 | CA | Practitioner - Chiropractic | 0941388235 | Practice locations: Watsonville, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
734 E Lake Ave
Suite 5
Watsonville, CA 95076-3567
Phone (831) 722-3511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21176DC | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1952415986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 E LAKE AVE STE 5",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 E LAKE AVE STE 5",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763567",
"telephone_number": "831-722-3511",
"fax_number": "831-722-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21176DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.