Active NPI
Mary Lynn Scecina, DC
- Chiropractor
- Riverside, CA
National Provider Identifier
1992892376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12048
- Practice address
- 16801 Van Buren Blvd
Suite D
Riverside, CA 92504-5896 - Phone
- (951) 780-8833
- Fax
- (951) 780-9368
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12048 | CA | Primary |
Addresses
Primary practice location
16801 Van Buren Blvd
Suite D
Riverside, CA 92504-5896
Mailing address
16801 Van Buren Blvd
Suite D
Riverside, CA 92504-5896
Phone (951) 780-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120319000814 | CA | Practitioner - Chiropractic | 4486814001 | Practice locations: Riverside, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16801 Van Buren Blvd
Suite D
Riverside, CA 92504-5803
Phone (951) 780-8833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1992892376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16801 VAN BUREN BLVD",
"address_2": "SUITE D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925045896",
"telephone_number": "951-780-8833",
"fax_number": "951-780-9368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16801 VAN BUREN BLVD",
"address_2": "SUITE D",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925045896",
"telephone_number": "951-780-8833",
"fax_number": "951-780-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCECINA",
"first_name": "MARY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.