Individual provider Active NPI

Megan Bolentini, DC

  • Chiropractor
  • Hayward, CA
National Provider Identifier
1366220402
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36781 Issued in CA
Practice address
27475 Hesperian Blvd Apt 330
Hayward, CA 94545-4257
Phone
(415) 579-4660
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 DC36781 CA Primary

Addresses

Primary practice location

27475 Hesperian Blvd Apt 330
Hayward, CA 94545-4257

Mailing address

27475 Hesperian Blvd Apt 330
Hayward, CA 94545-4257
Phone (415) 579-4660

Other practice location 1

100 OConnor Dr Ste 25
San Jose, CA 95128-1638
Phone (408) 271-2800

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
DC36781CAMDChiropractor
36781CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Murphy DC Chiropractic Inc Chiropractor CurrentSince Oct 2, 2023 Accepting new patients

Locations

100 Oconnor Dr
Ste 25
San Jose, CA 95128
Phone (408) 271-2800

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1366220402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 HESPERIAN BLVD APT 330",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454257",
            "telephone_number": "415-579-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 HESPERIAN BLVD APT 330",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454257",
            "telephone_number": "415-579-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 OConnor Dr Ste 25",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281638",
            "country_code": "US",
            "telephone_number": "408-271-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLENTINI",
        "first_name": "MEGAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.