Individual provider Active NPI

Kendra Michelle Tomcik, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1033177019
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29729 Issued in CA
Practice address
2350 Monument Blvd Ste C
Pleasant Hill, CA 94523-3954
Phone
(925) 676-8200
Fax
(925) 674-9222
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29729 CA Primary

Addresses

Primary practice location

2350 Monument Blvd Ste C
Pleasant Hill, CA 94523-3954

Mailing address

2350 Monument Blvd Ste C
Pleasant Hill, CA 94523-3954
Phone (925) 676-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001545 CA Practitioner - Chiropractic 0840572541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Kent Hagan Chiropractic IncGroup PAC ID 8729123393, 3 clinicians

Practice addresses (Care Compare)

95 Jackson St
Hayward, CA 94544-1905
Phone (510) 581-5813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29729CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Hagan Chiropractic, Inc Chiropractor CurrentSince Apr 20, 2022 Accepting new patients

Locations

95 Jackson St
Hayward, CA 94544
Phone (510) 581-5813

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1033177019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MONUMENT BLVD STE C",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233954",
            "telephone_number": "925-676-8200",
            "fax_number": "925-674-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MONUMENT BLVD STE C",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233954",
            "telephone_number": "925-676-8200",
            "fax_number": "925-674-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCIK",
        "first_name": "KENDRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.