Individual provider Active NPI

Adana Anna Moses Vargas, D.C.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1346543907
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31856 Issued in CA
Practice address
104 N Madison Ave
Pasadena, CA 91101-1710
Phone
(626) 792-9600
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31856 CA Primary

Addresses

Primary practice location

104 N Madison Ave
Pasadena, CA 91101-1710

Mailing address

104 N Madison Ave
Pasadena, CA 91101-1710
Phone (626) 792-9600

Other practice location 1

33 S Catalina Ave Ste 104
Pasadena, CA 91106-2426
Phone (626) 792-9600

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
DC-31856CAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346543907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011710",
            "telephone_number": "626-792-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011710",
            "telephone_number": "626-792-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 S Catalina Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062426",
            "country_code": "US",
            "telephone_number": "626-792-9600",
            "fax_number": "626-792-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES VARGAS",
        "first_name": "ADANA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.