Active NPI
Brigitte Faas, DC
- Chiropractor
- San Rafael, CA
National Provider Identifier
1598840092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14019
- Practice address
- 523 4TH St Ste 206
San Rafael, CA 94901-3347 - Phone
- (415) 258-0303
- Fax
- (415) 721-7660
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 14019 | CA | Primary |
Addresses
Primary practice location
523 4TH St Ste 206
San Rafael, CA 94901-3347
Mailing address
523 4TH St Ste 206
San Rafael, CA 94901-3347
Phone (415) 258-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120529000079 | CA | Practitioner - Chiropractic | 7810150018 | Practice locations: San Rafael, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1050 Northgate Dr
Suite 352
San Rafael, CA 94903-2541
Phone (415) 258-0303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeff Vanderheym Sun Valley Chiropractic | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- San Rafael, CA
- NPI 1447051891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1598840092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 4TH ST STE 206",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013347",
"telephone_number": "415-258-0303",
"fax_number": "415-721-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 4TH ST STE 206",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013347",
"telephone_number": "415-258-0303",
"fax_number": "415-721-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAAS",
"first_name": "BRIGITTE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.