Anjali Lata Agrawal, D.C.
Individual provider Active NPI Chiropractor · Los Altos, CA
NPI 1053484071 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1053484071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-30126 (CA)
- Practice address
- 949 Sherwood Ave Ste 100
Los Altos, CA 94022-1334 - Phone
- (650) 383-8853
- Fax
- (650) 949-3677
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
949 Sherwood Ave
Los Altos, CA 94022-1334
Phone (650) 383-8853
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000506 | CA | Practitioner - Chiropractic | 0941388680 | Practice locations: Los Altos, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30126 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30126 | CA | Yes |
Addresses
Primary practice location
949 Sherwood Ave Ste 100
Los Altos, CA 94022-1334
Mailing address
949 Sherwood Ave Ste 100
Los Altos, CA 94022-1334
Phone (650) 383-8853
Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.