Individual provider Active NPI

Jonathan Hyslop, D.C.

  • Chiropractor
  • San Rafael, CA
National Provider Identifier
1194789560
Registry record updated Oct 10, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jul 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30007 Issued in CA
Practice address
806 4TH St
San Rafael, CA 94901-3224
Phone
(415) 456-3232
Fax
(415) 456-3393
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30007 CA Primary

Addresses

Primary practice location

806 4TH St
San Rafael, CA 94901-3224

Mailing address

806 4TH St
San Rafael, CA 94901-3224
Phone (415) 456-3232

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
30007CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyslop Chiropractic Inc. Chiropractor PastSince Feb 20, 2006 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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1194789560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013224",
            "telephone_number": "415-456-3232",
            "fax_number": "415-456-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013224",
            "telephone_number": "415-456-3232",
            "fax_number": "415-456-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSLOP",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.