Individual provider Active NPI

Angela L Cantrell, D.C.

  • Chiropractor
  • San Ramon, CA
National Provider Identifier
1598019630
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32436 Issued in CA
Practice address
2819 Crow Canyon Rd Ste 213
San Ramon, CA 94583-1657
Phone
(650) 714-0347
Fax
(925) 848-3900
NPI assigned
Oct 27, 2012
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32436 CA Primary

Addresses

Primary practice location

2819 Crow Canyon Rd Ste 213
San Ramon, CA 94583-1657

Mailing address

2819 Crow Canyon Rd Ste 213
San Ramon, CA 94583-1657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doc@cantrellchiro.com Direct

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

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": "1351296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1598019630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 CROW CANYON RD STE 213",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831657",
            "fax_number": "925-848-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 CROW CANYON RD STE 213",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831657",
            "telephone_number": "650-714-0347",
            "fax_number": "925-848-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-27",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doc@cantrellchiro.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2819 Crow Canyon Rd Ste 213",
            "city": "San Ramon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945831657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.