MEDICARE: BACK TO HEALTH CHIROPRACTIC SIMMS FAMILY CARE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC0224670	OTHER	CA	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1659584043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO HEALTH CHIROPRACTIC SIMMS FAMILY CARE P.C.

Provider Business Mailing Address
First Line	:	3840 EL DORADO HILLS BLVD STE 101
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4567
Country	:	US
Telephone Number	:	916-933-7022
Fax Number	:	916-933-7025

Provider Business Practice Location Address
First Line	:	3840 EL DORADO HILLS BLVD STE 101
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-4567
Country	:	US
Telephone Number	:	916-933-7022
Fax Number	:	916-933-7025

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD SIMMS
Credential	:	DC
Telephone Number	:	916-933-7022

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	02/06/2026

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