Active NPI
Manuel Benedicto Paniagua, D.C.
- Chiropractor
- Redwood City, CA
National Provider Identifier
1235205220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28896
- Practice address
- 1391 Woodside Rd
Ste. 200
Redwood City, CA 94061-3578 - Phone
- (650) 365-7775
- Fax
- (650) 365-7896
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC28896 | CA | Primary |
Addresses
Primary practice location
1391 Woodside Rd
Ste. 200
Redwood City, CA 94061-3578
Mailing address
594 4TH Ave
Redwood City, CA 94063-3805
Phone (619) 495-5802
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235205220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 4TH AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633805",
"telephone_number": "619-495-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 WOODSIDE RD",
"address_2": "STE. 200",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613578",
"telephone_number": "650-365-7775",
"fax_number": "650-365-7896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANIAGUA",
"first_name": "MANUEL",
"middle_name": "BENEDICTO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.