Individual provider Active NPI

Abigail Colleen-Boorman Serpico, DC

  • Chiropractor
  • Monterey, CA
National Provider Identifier
1275176174
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34606 Issued in CA
Practice address
2511 Garden Rd # C-11
Monterey, CA 93940-5330
Phone
(831) 899-5900
Fax
(831) 899-5859
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34606 CA Primary

Addresses

Primary practice location

2511 Garden Rd # C-11
Monterey, CA 93940-5330

Mailing address

2511 Garden Rd # C-11
Monterey, CA 93940-5330
Phone (831) 899-5900

Other names 1

  • Abigail Colleen Boorman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34606CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Chiropractic Center Inc Chiropractor CurrentSince Jun 17, 2020 Accepting new patients

Locations

2511 Garden Rd
Ste C100
Monterey, CA 93940
Phone (831) 899-5900

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1275176174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 GARDEN RD # C-11",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405330",
            "telephone_number": "831-899-5900",
            "fax_number": "831-899-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 GARDEN RD # C-11",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405330",
            "telephone_number": "831-899-5900",
            "fax_number": "831-899-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPICO",
        "first_name": "ABIGAIL",
        "middle_name": "COLLEEN-BOORMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BOORMAN",
            "middle_name": "COLLEEN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.