Individual provider Active NPI

Thoan Ferguson, RN, DC

  • Chiropractor
  • Hayward, CA
National Provider Identifier
1528778297
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36366DC Issued in CA
Practice address
1866 B Street
Suite 201
Hayward, CA 94541
Phone
(510) 566-5604
NPI assigned
Dec 2, 2022
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36366 CA
Chiropractor 111N00000X 36366DC CA Primary
Registered Nurse 163W00000X 527930RN CA
Lactation Consultant (Registered Nurse) 163WL0100X 527930RN CA
Pediatric Chiropractor 111NP0017X 36366DC CA

Addresses

Primary practice location

1866 B Street
Suite 201
Hayward, CA 94541

Mailing address

19177 Madison Avenue
Castro Valley, CA 94546-3560
Phone (408) 390-5554

Other practice location 1

19177 Madison Ave
Castro Valley, CA 94546-3560
Phone (408) 390-5554

Other names 1

  • Dr. Melissa Thoan Ferguson Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
36366CAMDPsychologist
36366DCCAMDChiropractor
527930RNCAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Vince D C a Chiropractic Corp Chiropractor PastSince Dec 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1528778297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19177 MADISON AVENUE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463560",
            "telephone_number": "408-390-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 B STREET",
            "address_2": "SUITE 201",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-566-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19177 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945463560",
            "country_code": "US",
            "telephone_number": "408-390-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "THOAN",
        "name_prefix": "Dr.",
        "credential": "RN, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-08-23",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36366",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36366DC",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "527930RN",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "527930RN",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "36366DC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FERGUSON",
            "middle_name": "THOAN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.