Individual provider Active NPI

Serena May Maguire Yazdani, D.C.

  • Chiropractor
  • Scotts Valley, CA
National Provider Identifier
1588753024
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29991 Issued in CA
Practice address
4736 Scotts Valley Dr
Suite B
Scotts Valley, CA 95066-4226
Phone
(831) 438-0308
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29991 CA Primary

Addresses

Primary practice location

4736 Scotts Valley Dr
Suite B
Scotts Valley, CA 95066-4226

Mailing address

911 38TH Ave Apt 7
Santa Cruz, CA 95062-4445
Phone (831) 359-1624

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588753024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 38TH AVE APT 7",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624445",
            "telephone_number": "831-359-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 SCOTTS VALLEY DR",
            "address_2": "SUITE B",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664226",
            "telephone_number": "831-438-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE YAZDANI",
        "first_name": "SERENA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.