Individual provider Active NPI

Anjali Lata Agrawal, D.C.

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1053484071
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30126 Issued in 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
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30126 CA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000506 CA Practitioner - Chiropractic 0941388680 Practice locations: Los Altos, CA

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30126CAMDChiropractor
89522CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1053484071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SHERWOOD AVE STE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221334",
            "telephone_number": "650-383-8853",
            "fax_number": "650-949-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 SHERWOOD AVE STE 100",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221334",
            "telephone_number": "650-383-8853",
            "fax_number": "650-949-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "ANJALI",
        "middle_name": "LATA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.