PREMIER HEALTHCARE
NPI 1487910956
Chiropractor - Orthopedic in Placerville, CA

Active since April 09, 2012CLIA 05D2019186 · Waiver
1980 BROADWAY, PLACERVILLE, CA 95667(530) 622-3536(530) 622-3538 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTHCARE (NPI 1487910956) is a healthcare organization registered as an orthopedic in Placerville, California and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Cherilyn Bolton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487910956
Entity TypeOrganization
Primary Taxonomy111NX0800X
Legal Business NamePREMIER HEALTH OF PLACERVILLE INC
Location Address1980 BROADWAYPlacerville, CA 95667-9001
Mailing Address1980 BroadwayPlacerville, CA 95667-9001 · (530) 622-3536 · Fax (530) 622-3536
Fax(530) 622-3538
Organization SubpartNo
Authorized OfficialCherilyn BoltonOffice Manager · (530) 622-3536
Enumeration DateApril 9, 2012
Last NPPES UpdateMay 29, 2013
NPI 1487910956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · OrthopedicChiropractic Providers
Taxonomy Code111NX0800X
License Licensed in CA · 15474
Definition
Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.
1980 BROADWAY, Placerville, CA 95667

Other Names 1

Doing Business AsPremier Healthcare

Other Identifiers 3

Medicare PINBZ709ACA
Other1932345410CA · Group Npi
Medicare NSC6309300001CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2019186

Premier Health Of Placerville Dba Premier Healthcare · Placerville, CA
Active · expires Jan 23, 2027
CLIA Number05D2019186
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorJeffrey Deweese
Laboratory Phone(530) 622-3536
Laboratory LocationPremier Health Of Placerville Dba Premier Healthcare1980 Broadway, Placerville, CA 95667
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Orthopedic)
1980 BROADWAY
PLACERVILLE, CA 95667
Physician Assistant
1980 BROADWAY
PLACERVILLE, CA 95667
Physical Therapist
1980 BROADWAY
PLACERVILLE, CA 95667
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
Chiropractor
1980 BROADWAY
PLACERVILLE, CA 95667
Pain Medicine (Pain Medicine)
1980 BROADWAY
PLACERVILLE, CA 95667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Health Of Placerville Inc's NPI number?

The NPI number for Premier Health Of Placerville Inc is 1487910956. It was assigned to this organization in the NPPES registry on April 9, 2012. The provider is doing business as Premier Healthcare.

Where is Premier Health Of Placerville Inc located?

Premier Health Of Placerville Inc is located at 1980 Broadway, Placerville, CA 95667. The listed phone number is (530) 622-3536.

What is Premier Health Of Placerville Inc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Orthopedic, with taxonomy code 111NX0800X.

Does Premier Health Of Placerville Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2019186) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Health Of Placerville Inc was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.