Active NPI
Bryan Worthy, D.C.
- Chiropractor
- Castro Valley, CA
National Provider Identifier
1356422810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30100
- Practice address
- 2867 Grove Way
Castro Valley, CA 94546-6709 - Phone
- (510) 278-4288
- Fax
- (510) 881-0995
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC30100 | CA | Primary |
Addresses
Primary practice location
2867 Grove Way
Castro Valley, CA 94546-6709
Mailing address
15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC30100 | Other | CA | CHIRO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070109000495 | CA | Practitioner - Chiropractic | 2961402375 | Practice locations: Hayward, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22290 Foothill Blvd
Suite 2
Hayward, CA 94541-2731
Phone (510) 278-4288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1356422810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 ROCKFIELD BLVD A200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186705",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2867 GROVE WAY",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466709",
"telephone_number": "510-278-4288",
"fax_number": "510-881-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHY",
"first_name": "BRYAN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO LICENSE",
"identifier": "DC30100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.