Active NPI
Matthew James Fisher, D.C.
- Chiropractor
- Sacramento, CA
National Provider Identifier
1508934852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26386
- Practice address
- 1221 Alhambra Blvd Ste 105
Sacramento, CA 95816 - Phone
- (916) 451-5552
- Fax
- (916) 451-0756
- NPI assigned
- Dec 2, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26386 | CA | Primary |
Addresses
Primary practice location
1221 Alhambra Blvd Ste 105
Sacramento, CA 95816
Mailing address
1221 Alhambra Blvd Ste 105
Sacramento, CA 95816-5237
Phone (916) 451-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470901937 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160302000780 | CA | Practitioner - Chiropractic | 8820393713 | Practice locations: Sacramento, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1221 Alhambra Blvd
Suite 105
Sacramento, CA 95816-5237
Phone (916) 451-5552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26386 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Sutter Chiropractic | Past | Accepting new patients | |
| Rayman Chiropractic a Professional Corporation | Chiropractor | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Sacramento, CA
- NPI 1942519731
-
- Chiropractor
- Sacramento, CA
- NPI 1225253289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1508934852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 ALHAMBRA BLVD STE 105",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165237",
"telephone_number": "916-451-5552",
"fax_number": "916-451-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 ALHAMBRA BLVD STE 105",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-451-5552",
"fax_number": "916-451-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "470901937",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.