Active NPI
Sharon Ann Jaeger, D.C., D.A.C.B.R.
- Radiology Chiropractor
- Valley Village, CA
National Provider Identifier
1487721973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- DC12717
- Practice address
- 5301 Laurel Canyon Blvd
Suite 120
Valley Village, CA 91607-2736 - Phone
- (818) 980-8444
- Fax
- (818) 368-1552
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | DC12717 | CA | Primary |
Addresses
Primary practice location
5301 Laurel Canyon Blvd
Suite 120
Valley Village, CA 91607-2736
Mailing address
5301 Laurel Canyon Blvd
Suite 120
Valley Village, CA 91607-2736
Phone (818) 980-8444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100517000687 | CA | Practitioner - Chiropractic | 4587792221 | Practice locations: North Hollywood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12849 Magnolia Blvd
North Hollywood, CA 91607-2356
Phone (818) 980-8444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC12717 | CA | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 LAUREL CANYON BLVD",
"address_2": "SUITE 120",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916072736",
"telephone_number": "818-980-8444",
"fax_number": "818-368-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 LAUREL CANYON BLVD",
"address_2": "SUITE 120",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916072736",
"telephone_number": "818-980-8444",
"fax_number": "818-368-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "SHARON",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C., D.A.C.B.R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "DC12717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.