Active NPI
Michael Patrick, DC
- Chiropractor
- Concord, CA
National Provider Identifier
1427380336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18908
- Practice address
- 2190 Meridian Park Blvd Ste a
Concord, CA 94520-5715 - Phone
- (925) 825-8058
- Fax
- (925) 825-8080
- NPI assigned
- Feb 2, 2010
- 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 | DC18908 | CA | Primary |
Addresses
Primary practice location
2190 Meridian Park Blvd Ste a
Concord, CA 94520-5715
Mailing address
2190 Meridian Park Blvd Ste a
Concord, CA 94520-5715
Phone (925) 825-8058
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 |
|---|---|---|---|
| DC18908 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Medical Center, Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Pleasant Hill, CA
- NPI 1205033008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1427380336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 MERIDIAN PARK BLVD STE A",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205715",
"telephone_number": "925-825-8058",
"fax_number": "925-825-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 MERIDIAN PARK BLVD STE A",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205715",
"telephone_number": "925-825-8058",
"fax_number": "925-825-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.