Individual provider Active NPI

Jessica Javonne Lewis, DC

  • Chiropractor
  • Oakland, CA
National Provider Identifier
1477154086
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34947 Issued in CA
Practice address
6239 College Ave Ste 201
Oakland, CA 94618-1384
Phone
(510) 654-2207
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34947 CA Primary

Addresses

Primary practice location

6239 College Ave Ste 201
Oakland, CA 94618-1384

Mailing address

6239 College Ave Ste 201
Oakland, CA 94618-1384
Phone (510) 654-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002284 CA Practitioner - Chiropractic 8426450479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Levin and Miller Chiropractic CorporationGroup PAC ID 3375673056, 2 clinicians

Practice addresses (Care Compare)

21 Columbus Ave
Suite 200
San Francisco, CA 94111-2124
Phone (415) 373-3897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34947CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Levin and Miller Chiropractic Corporation Chiropractor CurrentSince Aug 30, 2022 Accepting new patients
Boyd Chiropractic, Inc Chiropractor CurrentSince Jul 16, 2021 Accepting new patients
Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center Chiropractor CurrentSince Nov 8, 2020 Accepting new patients

Locations

1708 Park St
Ste 130
Alameda, CA 94501
Phone (510) 205-2305

6239 College Ave
Ste 201
Oakland, CA 94618
Phone (510) 654-2207

21 Columbus Ave
Ste 200
San Francisco, CA 94111
Phone (415) 373-3897

Organizations & group practices 3

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1477154086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 COLLEGE AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181384",
            "telephone_number": "510-654-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 COLLEGE AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181384",
            "telephone_number": "510-654-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JESSICA",
        "middle_name": "JAVONNE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.