Active NPI
Venus Ann Maher, D.C.
- Chiropractor
- Rohnert Park, CA
National Provider Identifier
1487736765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 0182480
- Practice address
- 101 Golf Course Dr
C5
Rohnert Park, CA 94928 - Phone
- (707) 792-0202
- Fax
- (707) 792-2056
- NPI assigned
- Oct 19, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 0182480 | CA | Primary |
Addresses
Primary practice location
101 Golf Course Dr
C5
Rohnert Park, CA 94928
Mailing address
101 Golf Course Dr
C5
Rohnert Park, CA 94928
Phone (707) 792-0202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350040350 | Other | CA | RAILROAD MEDICARE PTAN |
| DC 0182480 | Other | CA | STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000834 | CA | Practitioner - Chiropractic | 1254430572 | Practice locations: Rohnert Park, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Golf Course Dr
C5
Rohnert Park, CA 94928-1772
Phone (707) 792-0202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 0182480 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1487736765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GOLF COURSE DR",
"address_2": "C5",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "707-792-0202",
"fax_number": "707-792-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GOLF COURSE DR",
"address_2": "C5",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "94928",
"telephone_number": "707-792-0202",
"fax_number": "707-792-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "VENUS",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 0182480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "350040350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "DC 0182480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rohnert Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.