Michael Lee Abney, D.C.
Individual provider Active NPI Chiropractor · Brisbane, CA
NPI 1164594693 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164594693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 22565 (CA)
- Practice address
- 101 Visitacion Ave
Brisbane, CA 94005-1560 - Phone
- (415) 467-3456
- Fax
- (415) 467-3530
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Visitacion Ave
Brisbane, CA 94005-1560
Phone (415) 467-3456
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000660 | CA | Practitioner - Chiropractic | 7517915374 | Practice locations: Brisbane, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22565 | CA | Yes |
Addresses
Primary practice location
101 Visitacion Ave
Brisbane, CA 94005-1560
Mailing address
101 Visitacion Ave.
Brisbane, CA 94005
Phone (415) 467-3456
Other providers in Brisbane, 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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.