Individual provider Active NPI

Andrew Lawson Stewart, D.C.

  • Chiropractor
  • Lafayette, CA
National Provider Identifier
1083772412
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20806 Issued in CA
Practice address
3249 Mt Diablo CT
Ste 101B
Lafayette, CA 94549-4069
Phone
(925) 513-8883
Fax
(650) 692-6237
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC20806 CA
Chiropractor 111N00000X 20806 CA Primary

Addresses

Primary practice location

3249 Mt Diablo CT
Ste 101B
Lafayette, CA 94549-4069

Mailing address

3249 Mt Diablo CT
Ste 101B
Lafayette, CA 94549-4069
Phone (925) 513-8883

Other identifiers 1

IdentifierTypeStateIssuer
94-3143928OtherCAFED TAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070309000494 CA Practitioner - Chiropractic 8123121225 Practice locations: Lafayette, CA; Millbrae, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

199 California Dr
Suite 100
Millbrae, CA 94030-3118
Phone (650) 692-2273

3249 Mt Diablo CT
Suite 101B
Lafayette, CA 94549-4069
Phone (925) 513-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC20806CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Giessman D.C., a Chiropractic Corporation Chiropractor PastSince Dec 9, 2019 Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Balch Chiropractic PC PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 3

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1083772412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 MT DIABLO CT",
            "address_2": "STE 101B",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494069",
            "telephone_number": "925-513-8883",
            "fax_number": "650-692-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 MT DIABLO CT",
            "address_2": "STE 101B",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494069",
            "telephone_number": "925-513-8883",
            "fax_number": "650-692-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ANDREW",
        "middle_name": "LAWSON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "94-3143928",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.