Active NPI
Paul James Quarneri, D.C., D.A.C.N.B.
- Neurology Chiropractor
- San Mateo, CA
National Provider Identifier
1497836068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 24755
- Practice address
- 177 Bovet Rd
Suite 150
San Mateo, CA 94402-3116 - Phone
- (650) 375-2545
- Fax
- (650) 655-6611
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 24755 | CA | Primary |
Addresses
Primary practice location
177 Bovet Rd
Suite 150
San Mateo, CA 94402-3116
Mailing address
177 Bovet Rd
Suite 150
San Mateo, CA 94402-3117
Phone (650) 375-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0247550 | Other | CA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
177 Bovet Rd
Suite 150
San Mateo, CA 94402-3117
Phone (650) 375-2545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24755 | CA | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quarneri Chiropractic Inc. | Neurology | Current | Accepting new patients |
| Diane Au, L.Ac. | Past | Accepting new patients |
Locations
177 Bovet Rd
Ste 150
San Mateo, CA 94402
Phone (650) 375-2545
Organizations & group practices 2
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.
-
- Neurology Chiropractor
- San Mateo, CA
- NPI 1073835690
-
- Acupuncturist
- San Mateo, CA
- NPI 1962826891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1497836068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 BOVET RD",
"address_2": "SUITE 150",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023117",
"telephone_number": "650-375-2545",
"fax_number": "650-655-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 BOVET RD",
"address_2": "SUITE 150",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023116",
"telephone_number": "650-375-2545",
"fax_number": "650-655-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARNERI",
"first_name": "PAUL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C., D.A.C.N.B.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "24755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "DC0247550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.