Individual provider Active NPI

Pauline Kazumi Asahara, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1023259900
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29589 Issued in CA
Practice address
4410 24TH St
Sacramento, CA 95822-1409
Phone
(916) 455-0962
Fax
(916) 455-0962
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29589 CA Primary

Addresses

Primary practice location

4410 24TH St
Sacramento, CA 95822-1409

Mailing address

4410 24TH St
Sacramento, CA 95822-1409
Phone (916) 455-0962

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

LicenseStateTypeSpecialty
DC29589CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Chiropractic Chiropractor Past Accepting new patients

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1023259900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 24TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221409",
            "telephone_number": "916-455-0962",
            "fax_number": "916-455-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 24TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221409",
            "telephone_number": "916-455-0962",
            "fax_number": "916-455-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAHARA",
        "first_name": "PAULINE",
        "middle_name": "KAZUMI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.