Active NPI
Kristy Carranza, DC
- Chiropractor
- Foster City, CA
National Provider Identifier
1003410440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34979
- Practice address
- 951 Edgewater Blvd.
Suite B
Foster City, CA 94404 - Phone
- (650) 212-1414
- NPI assigned
- Nov 25, 2020
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34979 | CA | Primary |
Addresses
Primary practice location
951 Edgewater Blvd.
Suite B
Foster City, CA 94404
Mailing address
600 MC Lellan Dr
South San Francisco, CA 94080-2259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34979 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson-Wu Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCBFBD/Endpoint/FCBFBD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1003410440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MC LELLAN DR",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940802259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 EDGEWATER BLVD.",
"address_2": "SUITE B",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "94404",
"telephone_number": "650-212-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRANZA",
"first_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foster City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.