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DR. NATHAN SIVANANDA D.C.
NPI 1992051650
Chiropractor in Mount Shasta, CA

Active since July 31, 2012
1180 S MOUNT SHASTA BLVD, SUITE C, MOUNT SHASTA, CA 96067(530) 926-1072(530) 926-1072 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nathan Sivananda D.c. NPPES

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

DR. NATHAN SIVANANDA D.C. (NPI 1992051650) is an individual chiropractor in Mount Shasta, California, licensed in California (DC022167) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1992051650
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NATHAN SIVANANDACredential: D.C.
Location Address1180 S MOUNT SHASTA BLVD, SUITE CMount Shasta, CA 96067-2764
Mailing Address1180 S Mount Shasta Blvd, Suite CMount Shasta, CA 96067-2764 · (530) 926-1072 · Fax (530) 926-1072
Phone(530) 926-1072
Fax(530) 926-1072
Sole ProprietorYes
Enumeration DateJuly 31, 2012
✔ NPI 1992051650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC022167
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.
1180 S MOUNT SHASTA BLVD, Mount Shasta, CA 96067
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Sivananda D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nathan Sivananda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Valleys Health Centers
0.2 mi
Federally Qualified Health Center (FQHC)
101 OLD MCCLOUD RD
Mount Shasta, CA 96067
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1629570320 (530) 999-9040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

MR. LOREN CRONK LMFT
Marriage & Family Therapist
1180 S MOUNT SHASTA BLVD
MOUNT SHASTA, CA 96067
Siskiyou County (530) 949-9989
MOUNT SHASTA CHIROPRACTIC & WELLNESS
Chiropractor
1180 S MOUNT SHASTA BLVD, SUITE C
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1072

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 Nathan Sivananda's NPI number?

The NPI number for Nathan Sivananda is 1992051650. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Nathan Sivananda located?

Nathan Sivananda practices at 1180 S Mount Shasta Blvd Suite C, Mount Shasta, CA 96067. The listed phone number is (530) 926-1072.

What is Nathan Sivananda's specialty?

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

Is Nathan Sivananda enrolled in Medicare?

Yes. Nathan Sivananda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Sivananda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Sivananda reassigns Medicare benefits to Mountain Valleys Health Centers (Mount Shasta, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Sivananda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Sivananda was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.