Active NPI
Emily Joan Zeinal, DC
- Orthopedic Chiropractor
- Sebastopol, CA
National Provider Identifier
1295062842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- DC30186
- Practice address
- 1540 Gravenstein Hwy S.
Sebastopol, CA 95472 - Phone
- (707) 829-2911
- Fax
- (707) 823-8362
- NPI assigned
- Nov 3, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | DC30186 | CA | |
| Orthopedic Chiropractor | 111NX0800X | DC30186 | CA | Primary |
Addresses
Primary practice location
1540 Gravenstein Hwy S.
Sebastopol, CA 95472
Mailing address
1540 Gravenstein Hwy S.
Sebastopol, CA 95472
Phone (707) 829-2911
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC30186 | CA | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1295062842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 GRAVENSTEIN HWY S.",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "707-829-2911",
"fax_number": "707-823-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 GRAVENSTEIN HWY S.",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "707-829-2911",
"fax_number": "707-823-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEINAL",
"first_name": "EMILY",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "DC30186",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC30186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.