Jan Wesdorf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 25395 Issued in CA

Practice address

1100 Pleasant Valley Dr Ste a
Pleasant Hill, CA 94523-4362

Phone

(925) 274-9900

Fax

(925) 274-1146

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Chiropractic College WestGroup PAC ID 9234178138, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Chiropractic College West

  • Chiropractor
  • Hayward, CA
  • NPI 1376615807
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629102009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PLEASANT VALLEY DR STE A",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234362",
            "telephone_number": "925-274-9900",
            "fax_number": "925-274-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PLEASANT VALLEY DR STE A",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234362",
            "telephone_number": "925-274-9900",
            "fax_number": "925-274-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESDORF",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Welch II, CP, CPED, CFO
• Wellness Cafe Physical Therapy, Inc
• Melvin Thomas Wells Jr., DDS
• Jennifer Wentz, MFT
• Aaron David Werner
• West Coast Hearing LLC
• Samuel Arthur West, D.D.S.
• White Pony Express
• Lynne D. White, MFT
• Holly Wiersma, CD(DONA)

• Chiropractor in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.