Individual provider Active NPI

Brandy Zachary, DC, IFMCP

  • Nutrition Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1235678707
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
28423 Issued in CA
Practice address
2872 Ygnacio Valley Rd # 440
Walnut Creek, CA 94598-3534
Phone
(925) 788-6300
NPI assigned
Feb 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 28423 CA
Nutrition Chiropractor 111NN1001X 28423 CA Primary

Addresses

Primary practice location

2872 Ygnacio Valley Rd # 440
Walnut Creek, CA 94598-3534

Mailing address

2872 Ygnacio Valley Rd # 440
Walnut Creek, CA 94598-3534
Phone (925) 788-6300

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

State licenses

LicenseStateTypeSpecialty
28423CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Love Cafe, a Zachary Chiropractic Corporation Chiropractor CurrentSince Nov 21, 2021 Accepting new patients

Locations

2872 Ygnacio Valley Rd
#440
Walnut Creek, CA 94598

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": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1235678707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 YGNACIO VALLEY RD # 440",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983534",
            "telephone_number": "925-788-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 YGNACIO VALLEY RD # 440",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983534",
            "telephone_number": "925-788-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "DC, IFMCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28423",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "28423",
            "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 Nov 1, 2021; 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.