Individual provider Active NPI

Daniel Agegnehu, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1477972602
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32882 Issued in CA
Practice address
305 Castro St
2
San Francisco, CA 94114-1574
Phone
(571) 236-8513
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32882 CA Primary

Addresses

Primary practice location

305 Castro St
2
San Francisco, CA 94114-1574

Mailing address

166 Geary St
1102
San Francisco, CA 94108-5631
Phone (415) 937-8510

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

LicenseStateTypeSpecialty
32882CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alem Integrated Health Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1477972602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 GEARY ST",
            "address_2": "1102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085631",
            "telephone_number": "415-937-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CASTRO ST",
            "address_2": "2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141574",
            "telephone_number": "571-236-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEGNEHU",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.