Individual provider Active NPI

Anthony Kumar Jayswal, DC

  • Chiropractor
  • Campbell, CA
National Provider Identifier
1639234867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28099 Issued in CA
Practice address
3195 S Bascom Ave
Chiropractic First
Campbell, CA 95008
Phone
(408) 559-1662
Fax
(408) 559-0946
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

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 DC28099 CA Primary

Addresses

Primary practice location

3195 S Bascom Ave
Chiropractic First
Campbell, CA 95008

Mailing address

3195 S Bascom Ave
Chiropractic First
Campbell, CA 95008
Phone (408) 559-1662

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

State licenses

LicenseStateTypeSpecialty
DC28099CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Savage Chiropractic, Inc Chiropractor Past Accepting new patients
Tim Gudilin Chiropractic Inc Chiropractor PastSince Aug 17, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639234867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 S BASCOM AVE",
            "address_2": "CHIROPRACTIC FIRST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-559-1662",
            "fax_number": "408-559-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 S BASCOM AVE",
            "address_2": "CHIROPRACTIC FIRST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-559-1662",
            "fax_number": "408-559-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYSWAL",
        "first_name": "ANTHONY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, 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.