Revilla Chiropractic A Professional Corporation
NPI 1164572566ActiveOrganization· Chiropractor· San Marcos, CA
Chiropractor in San Marcos, California, registered in NPPES in January 2007. The authorized official on file is Russell Steven Revilla, D.C., President.
Overview
| NPI | 1164572566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2007 |
| Last updated in NPPES | Jun 10, 2020 |
| Certified by provider | Jun 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | DC 20363 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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