Clifford Jay Adams-Hart, D. C.
Individual provider Active NPI Chiropractor · Fremont, CA
NPI 1053539619 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053539619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC25400 (CA)
- Practice address
- 39159 Paseo Padre Pkwy
#101
Fremont, CA 94538-1608 - Phone
- (510) 796-4211
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25400 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25400 | CA | Yes |
Addresses
Primary practice location
39159 Paseo Padre Pkwy
#101
Fremont, CA 94538-1608
Mailing address
39159 Paseo Padre Pkwy
#101
Fremont, CA 94538-1608
Phone (510) 796-4211
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.