Physician Compare National (NPI:1013022185)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013022185
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214915222
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040707001356
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIGLIACCIO
	Individual professional last name
Provider First Name	DALE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3888 STATE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	SANTA BARBARA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	931055617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8056870533
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M