MRS. CHARLENE PHYLLIS MONTICELLO D.C.
NPI 1962615021
Chiropractor in Santa Rosa, CA

Active since May 07, 2007
269 AVIATION BLVD, STE 102, SANTA ROSA, CA 95403(707) 836-1333 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Charlene Phyllis Monticello D.c. NPPES

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

MRS. CHARLENE PHYLLIS MONTICELLO D.C. (NPI 1962615021) is an individual chiropractor in Santa Rosa, California, licensed in California (DC27131) and active in the NPI registry since May 2007. She is a graduate of Palmer College Chiropractic - West Sunnyvale (1999).

NPPES Registry Identity

NPI1962615021
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMRS. CHARLENE PHYLLIS MONTICELLOCredential: D.C.
Location Address269 AVIATION BLVD, STE 102Santa Rosa, CA 95403-9017
Mailing Address269 Aviation Blvd., Ste. 102Windsor, CA 95492-9540 · (707) 836-1333 · Fax (707) 838-4382
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1999
Enumeration DateMay 7, 2007
Last NPPES UpdateApril 21, 2016
NPI 1962615021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC27131
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
269 AVIATION BLVD, Santa Rosa, CA 95403

Other Identifiers 1

Medicare ID-Type UnspecifiedDC 0271310CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Charlene Phyllis Monticello D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668428624
PECOS Enrollment IDI20050323000881

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
94 services17 patients

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 Charlene Monticello's NPI number?

The NPI number for Charlene Monticello is 1962615021. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Charlene Monticello located?

Charlene Monticello practices at 269 Aviation Blvd Ste 102, Santa Rosa, CA 95403. The listed phone number is (707) 836-1333.

What is Charlene Monticello's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Charlene Monticello enrolled in Medicare?

Yes. Charlene Monticello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Monticello was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.