Active NPI
Arjay V. Ventura, D.C.
- Chiropractor
- Pinole, CA
National Provider Identifier
1194053959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28756
- Practice address
- 1690 San Pablo Ave
Suite C
Pinole, CA 94564-2078 - Phone
- (510) 724-2222
- Fax
- (510) 724-2227
- NPI assigned
- Dec 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28756 | CA | Primary |
Addresses
Primary practice location
1690 San Pablo Ave
Suite C
Pinole, CA 94564-2078
Mailing address
44 Parkhaven CT
Vallejo, CA 94591-4235
Phone (707) 853-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28756 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellen a. Marzan Chiropractic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Point of Service
- Pinole, CA
- NPI 1225213051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1194053959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 PARKHAVEN CT",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945914235",
"telephone_number": "707-853-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 SAN PABLO AVE",
"address_2": "SUITE C",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642078",
"telephone_number": "510-724-2222",
"fax_number": "510-724-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "ARJAY",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-05",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.