Active NPI
Louis Hilario Tiscareno, D.C.
- Chiropractor
- Hayward, CA
National Provider Identifier
1417212895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11101
- Practice address
- 25001 Industrial Blvd
Hayward, CA 94545-2801 - Phone
- (510) 780-4567
- Fax
- (510) 780-4513
- NPI assigned
- Jul 11, 2012
- 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 | 11101 | CA | Primary |
Addresses
Primary practice location
25001 Industrial Blvd
Hayward, CA 94545-2801
Mailing address
25001 Industrial Blvd
Hayward, CA 94545-2801
Phone (510) 780-4567
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11101 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1417212895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25001 INDUSTRIAL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452801",
"telephone_number": "510-780-4567",
"fax_number": "510-780-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25001 INDUSTRIAL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452801",
"telephone_number": "510-780-4567",
"fax_number": "510-780-4513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISCARENO",
"first_name": "LOUIS",
"middle_name": "HILARIO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11101",
"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 Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.