Active NPI
Umar Ellahie, DC
- Chiropractor
- Campbell, CA
National Provider Identifier
1386363695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34957
- Practice address
- 1885 Winchester Blvd
Campbell, CA 95008-1100 - Phone
- (408) 370-2190
- Fax
- (408) 379-0947
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 34957 | CA | Primary |
Addresses
Primary practice location
1885 Winchester Blvd
Campbell, CA 95008-1100
Mailing address
1885 Winchester Blvd
Campbell, CA 95008-1100
Phone (408) 370-2190
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 |
|---|---|---|---|
| 34957 | CA | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1386363695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 WINCHESTER BLVD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081100",
"telephone_number": "408-370-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WINCHESTER BLVD",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081100",
"telephone_number": "408-370-2190",
"fax_number": "408-379-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLAHIE",
"first_name": "UMAR",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.