Active NPI
Rena Avital Ahdut, DC
- Chiropractor
- Danville, CA
National Provider Identifier
1225653298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34826
- Practice address
- 565 Sycamore Valley Rd W
Danville, CA 94526-3900 - Phone
- (925) 837-5595
- Fax
- (935) 837-6558
- NPI assigned
- Jun 15, 2020
- Last updated
- Jun 15, 2020
- Sex
- Female
- 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 | 34826 | CA | Primary |
Addresses
Primary practice location
565 Sycamore Valley Rd W
Danville, CA 94526-3900
Mailing address
32 Vintage Cir Unit 1337
Pleasanton, CA 94566-6674
Phone (253) 226-1496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2410 San Ramon Valley Blvd
Suite 115
San Ramon, CA 94583-1788
Phone (925) 838-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34826 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zamora Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Alexander Chiropractic Center Inc. | Chiropractor | Past | Accepting new patients |
| Hall Family Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
565 Sycamore Valley Rd W
Danville, CA 94526
Phone (925) 837-5595
Organizations & group practices 4
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.
-
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- Livermore, CA
- NPI 1598268518
-
- Chiropractor
- Danville, CA
- NPI 1255943015
-
- Chiropractor
- Livermore, CA
- NPI 1417099458
-
- Chiropractor
- Danville, CA
- NPI 1790825933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1225653298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 VINTAGE CIR UNIT 1337",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666674",
"telephone_number": "253-226-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 SYCAMORE VALLEY RD W",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945263900",
"telephone_number": "925-837-5595",
"fax_number": "935-837-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHDUT",
"first_name": "RENA",
"middle_name": "AVITAL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.