Organization Active NPI

Quarneri Chiropractic Inc.

  • Neurology Chiropractor
  • San Mateo, CA
National Provider Identifier
1073835690
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
24755 Issued in CA
Legal business name
QUARNERI CHIROPRACTIC INC.
Practice address
177 Bovet Rd
Suite 150
San Mateo, CA 94402-3116
Phone
(650) 375-2545
Fax
(650) 655-6611
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Dr. Paul Quarneri, D.C.NPI 1497836068
Title
President
Phone
(650) 375-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 24755 CA Primary

Addresses

Primary practice location

177 Bovet Rd
Suite 150
San Mateo, CA 94402-3116

Mailing address

177 Bovet Rd
Suite 150
San Mateo, CA 94402-3116
Phone (650) 375-2545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316000917 CA Part B Supplier - Clinic/Group Practice 4486789419 Receives reassigned benefits from 3 practitioners
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

177 Bovet Rd
Ste 150
San Mateo, CA 94402
Phone (650) 375-2545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1073835690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BOVET RD",
            "address_2": "SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023116",
            "telephone_number": "650-375-2545",
            "fax_number": "650-655-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BOVET RD",
            "address_2": "SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023116",
            "telephone_number": "650-375-2545",
            "fax_number": "650-655-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUARNERI CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "QUARNERI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-375-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "24755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.