GIANCARLO LICATA (NPI# 1285803080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285803080 |
| Entity Type | Individual |
| Full Name | GIANCARLO LICATA |
| Credential | D.C. |
| Practice Address |
131 N El Molino Ave Ste 150 Pasadena CA 91101-4149 |
| Practice Telephone | 6265648900 |
| Practice Fax Number | 6265648902 |
| Mailing Telephone | 6265648900 |
| Mailing Fax Number | 6265648902 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 30840 | CA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 125 Wheeler Ave Ste A, Arcadia, CA 910063240 | 6264463400 | 6264463404 |
| Street Address |
131 N EL MOLINO AVE STE 150 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-4149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790936805 | Vital Head and Spinal Care, A Licata Chiropractic Corporation | Chiropractor | 131 N El Molino Ave Ste 150, Pasadena, CA 91101-4149 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193995 | La Louise Company LLC | Chiropractor | 1414 W Colorado Blvd, Pasadena, CA 91105-1414 | 2019-09-16 |
| 1699336602 | Katarina Rigali | Chiropractor | 133 S Hudson Ave Ste 2, Pasadena, CA 91101-2614 | 2019-06-21 |
| 1518520154 | Haig Basmadjian | Chiropractor | 117 W Bellevue Dr Ste 4, Pasadena, CA 91105-2548 | 2019-04-18 |
| 1487110359 | Andres Tomas De La Cruz | Chiropractor | 131 N El Molino Ave Ste 180, Pasadena, CA 91101-5601 | 2019-02-15 |
| 1568974905 | Roger G Alonso | Chiropractor | 1450 N Lake Ave Ste 100, Pasadena, CA 91104-2301 | 2017-10-25 |
| 1831619311 | Matthew James Starling | Chiropractor | 145 Vista Ave Ste 103, Pasadena, CA 91107-3699 | 2017-06-26 |
| 1134659378 | Arman Tchoukadarian | Chiropractor | 610 N. Lake Ave., Pasadena, CA 91101-1220 | 2017-06-19 |
| 1023461555 | Forte Wellness Inc | Chiropractor | 1028 N. Lake Ave, Suite 205, Pasadena, CA 91104-4570 | 2016-07-20 |
| 1861850620 | Dwane Davis Jr. | Chiropractor | 1420 Preston Ave Ste G, Pasadena, TX 77503-2556 | 2016-02-08 |
| 1598153066 | Derek Pham | Chiropractor | 100 W Villa St Ste 103, Pasadena, CA 91103-3345 | 2015-01-06 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.