Individual provider Active NPI

Andrew Verdaguer, DC

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1285332585
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36577 Issued in CA
Practice address
3239 El Camino Real Ste 220
Palo Alto, CA 94306-2247
Phone
(937) 287-1907
NPI assigned
Feb 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36577 CA Primary

Addresses

Primary practice location

3239 El Camino Real Ste 220
Palo Alto, CA 94306-2247

Mailing address

415 N 2ND St Unit 341
San Jose, CA 95112-4064
Phone (937) 287-1907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001530 CA Practitioner - Chiropractic 0547615775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36577CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Chiropractic SF, Inc. Chiropractor CurrentSince Aug 26, 2023 Accepting new patients

Locations

1326 Church St
San Francisco, CA 94114
Phone (415) 550-1200

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1285332585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 2ND ST UNIT 341",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124064",
            "telephone_number": "937-287-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 EL CAMINO REAL STE 220",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062247",
            "telephone_number": "937-287-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDAGUER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.