NPIMap

Organization Active NPI

Functional Health Specialists Asad Chiropractic

  • Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1194072207
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32124 Issued in CA
Legal business name
FUNCTIONAL HEALTH SPECIALISTS ASAD CHIROPRACTIC
Practice address
1250 Pine St
Suite 108
Walnut Creek, CA 94596-3685
Phone
(925) 289-8011
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Laura Wilson, DCNPI 1083960991
Title
Ceo
Phone
(925) 289-8011

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 32124 CA Primary

Addresses

Primary practice location

1250 Pine St
Suite 108
Walnut Creek, CA 94596-3685

Mailing address

1250 Pine St
Suite 108
Walnut Creek, CA 94596-3685
Phone (925) 289-8011

National Provider Directory

National Provider Directory

Locations

1250 Pine St
Ste 108
Walnut Creek, CA 94596
Phone (925) 289-8011

Practitioners & affiliated clinicians

Practitioners 1

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": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1194072207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PINE ST",
            "address_2": "SUITE 108",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963685",
            "telephone_number": "925-289-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE ST",
            "address_2": "SUITE 108",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963685",
            "telephone_number": "925-289-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH SPECIALISTS ASAD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-289-8011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.