Active NPI
Monisha Mona Chanan, D.C.
- Chiropractor
- San Leandro, CA
National Provider Identifier
1043438039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26692
- Practice address
- 15200 Hesperian Blvd, Suite 104
San Leandro, CA 94578 - Phone
- (510) 468-0828
- Fax
- (510) 742-0784
- NPI assigned
- Apr 23, 2007
- Last updated
- Jun 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26692 | CA | Primary |
| Radiology Chiropractor | 111NR0200X | DC26692 | CA |
Addresses
Primary practice location
15200 Hesperian Blvd, Suite 104
San Leandro, CA 94578
Mailing address
15200 Hesperian Blvd, Suite 104
San Leandro, CA 94578
Phone (510) 468-0828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6110 Hellyer Ave
Suite 100
San Jose, CA 95138-1061
Phone (370) 288-6453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26692 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Center Inc | Chiropractor | Past | Accepting new patients |
| Good Health Medical Center, Inc. | Past | Accepting new patients | |
| Advanced DME LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1962083733
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-
- Internal Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1043438039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15200 HESPERIAN BLVD, SUITE 104",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-468-0828",
"fax_number": "510-742-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 HESPERIAN BLVD, SUITE 104",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94578",
"telephone_number": "510-468-0828",
"fax_number": "510-742-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANAN",
"first_name": "MONISHA",
"middle_name": "MONA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26692",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "DC26692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.