Individual provider Active NPI

Stephanie Harn, DC

  • Chiropractor
  • Castro Valley, CA
National Provider Identifier
1083363261
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36089 Issued in CA
Practice address
21669 Redwood Rd
Castro Valley, CA 94546-6431
Phone
(510) 582-7418
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36089 CA Primary

Addresses

Primary practice location

21669 Redwood Rd
Castro Valley, CA 94546-6431

Mailing address

21669 Redwood Rd
Castro Valley, CA 94546-6431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003001086 CA Practitioner - Chiropractic 6406387240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Reichert Chiropractic IncGroup PAC ID 2062779564, 3 clinicians

Practice addresses (Care Compare)

21669 Redwood Rd
Castro Valley, CA 94546-6431
Phone (510) 582-7418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36089CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reichert Chiropractic Inc Chiropractor CurrentSince Jul 27, 2024 Accepting new patients
Affinity Medical Group PastSince Mar 27, 2022 Accepting new patients

Locations

21669 Redwood Rd
Castro Valley, CA 94546
Phone (510) 295-3695

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1083363261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21669 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21669 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466431",
            "telephone_number": "510-582-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.