Individual provider Active NPI

Anita Haque, DC

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1225061831
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29059 Issued in CA
Practice address
1855 First St
Livermore, CA 94550-4401
Phone
(925) 960-1960
Fax
(925) 960-1919
NPI assigned
Jul 8, 2006
Last updated
Jul 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29059 CA Primary

Addresses

Primary practice location

1855 First St
Livermore, CA 94550-4401

Mailing address

1855 First St
Livermore, CA 94550-4401
Phone (925) 960-1960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310001002 CA Practitioner - Chiropractic 5799739850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 1St St
Livermore, CA 94550-4401
Phone (925) 960-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29059CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Haque Chiropractic Inc Chiropractor CurrentSince Jul 1, 2004 Accepting new patients
Cognitive Fitness & Joint Health Management Corporation Chiropractor CurrentSince Apr 19, 2020 Accepting new patients

Locations

1635 Chestnut St
Ste B
Livermore, CA 94551
Phone (925) 960-1960

1855 N 1st St
Livermore, CA 94550
Phone (925) 960-1960

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1225061831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504401",
            "telephone_number": "925-960-1960",
            "fax_number": "925-960-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 FIRST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504401",
            "telephone_number": "925-960-1960",
            "fax_number": "925-960-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.