ANTOVICH CHIROPRACTIC INC (NPI# 1740547082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740547082 |
| Entity Type | Organization |
| Organization Name | ANTOVICH CHIROPRACTIC INC |
| Practice Address |
9156 Elk Grove Blvd Elk Grove CA 95624-2013 |
| Practice Telephone | 9166844100 |
| Practice Fax Number | 9166845299 |
| Mailing Telephone | 9166844100 |
| Mailing Fax Number | 9166845299 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | DR. TODD JAY ANTOVICH (PRESIDENT) |
| Authorized Official Telephone | 9166844100 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | DC0209030 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | DC0209030 | 01 |
| Street Address |
9156 ELK GROVE BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850649 | Carol A. Antovich | Physical Therapist | 9156 Elk Grove Blvd, Elk Grove, CA 95624-2013 | 2006-07-29 |
| 1710993951 | Todd J. Antovich | Chiropractor | 9156 Elk Grove Blvd, Elk Grove, CA 95624-2013 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467558783 | Sacramento County Dhhs | Clinic/Center | 6808 Rio Tejo Way, Elk Grove, CA 95757-3432 | 2006-09-15 |
| 1235649492 | Lemire Chiropractic Spine & Sport Inc. | Clinic/Center | 2354 Maritime Dr Ste 100, Elk Grove, CA 95758-3657 | 2017-10-02 |
| 1952794992 | California Northstate University, College of Medicine | Clinic/Center | 9700 W Taron Dr, Elk Grove, CA 95757-8145 | 2015-03-16 |
| 1093010159 | Laguna Family Practice | Clinic/Center | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2011-01-21 |
| 1447568191 | Sacramento Urgent Care | Clinic/Center | 9045 Bruceville Rd, Suite 100, Elk Grove, CA 95758-5948 | 2010-09-15 |
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| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.