Individual provider Active NPI

Kaede Fischer Woo, DC

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1407385875
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33873 Issued in CA
Practice address
1122 Corporate Way Ste 300
Sacramento, CA 95831-6125
Phone
(916) 395-5804
NPI assigned
Jun 8, 2017
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33873 CA Primary

Addresses

Primary practice location

1122 Corporate Way Ste 300
Sacramento, CA 95831-6125

Mailing address

1122 Corporate Way Ste 300
Sacramento, CA 95831-6125

Other practice location 1

1326 Church Street
San Francisco, CA 94114
Phone (415) 550-1200

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
33873CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Chiropractic Corporation Chiropractor CurrentSince Nov 24, 2024 Accepting new patients
Valley Chiropractic SF, Inc. Chiropractor PastSince Jan 31, 2023 Accepting new patients

Locations

1122 Corporate Way
Ste 300
Sacramento, CA 95831
Phone (916) 392-3655

4732 Duckhorn Dr
Sacramento, CA 95834

1215 Plumas St
Ste 101
Yuba City, CA 95991
Phone (530) 751-1701

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1407385875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958316125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CORPORATE WAY STE 300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958316125",
            "telephone_number": "916-395-5804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 Church Street",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94114",
            "country_code": "US",
            "telephone_number": "415-550-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "KAEDE",
        "middle_name": "FISCHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.