Provider Demographics
NPI:1871668681
Name:FILIPPINI, JOHN P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:FILIPPINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 SAN RAMON VALLEY BLVD STE 255
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4051
Mailing Address - Country:US
Mailing Address - Phone:925-854-2089
Mailing Address - Fax:925-854-2245
Practice Address - Street 1:919 SAN RAMON VALLEY BLVD STE 255
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4051
Practice Address - Country:US
Practice Address - Phone:925-854-2089
Practice Address - Fax:925-854-2245
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0191150111N00000X
CA19115111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU62217Medicare UPIN
CADC0191150Medicare UPIN