Individual provider Active NPI

Douglas Archer Desalvo, D.C.

  • Chiropractor
  • Novato, CA
National Provider Identifier
1952521130
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18221 Issued in CA
Practice address
7595 Redwood Blvd
Ste 108
Novato, CA 94945-7700
Phone
(415) 898-6888
Fax
(415) 898-8474
NPI assigned
Apr 27, 2007
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18221 CA Primary

Addresses

Primary practice location

7595 Redwood Blvd
Ste 108
Novato, CA 94945-7700

Mailing address

7595 Redwood Blvd
Ste108
Novato, CA 94945-7700
Phone (415) 898-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000413 CA Practitioner - Chiropractic 0840345138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7595 Redwood Blvd
Novato, CA 94945-7705
Phone (415) 898-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18221CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Desalvo Chiropractic, Inc Chiropractor CurrentSince Jun 18, 2009 Accepting new patients
Desalvo Chiropractic and Disc Center, P.C. Chiropractor Current Accepting new patients
Precision Spine & Motion Imaging PastSince Dec 14, 2025 Accepting new patients

Locations

7595 Redwood Blvd
Ste 108
Novato, CA 94945
Phone (415) 432-9281

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1952521130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 REDWOOD BLVD",
            "address_2": "STE108",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457700",
            "telephone_number": "415-898-6888",
            "fax_number": "415-898-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 REDWOOD BLVD",
            "address_2": "STE 108",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949457700",
            "telephone_number": "415-898-6888",
            "fax_number": "415-898-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALVO",
        "first_name": "DOUGLAS",
        "middle_name": "ARCHER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.

Verify at the official NPI Registry.