Individual provider Active NPI

Gloria Andrade, D.C.

  • Chiropractor
  • Concord, CA
National Provider Identifier
1649529215
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32390 Issued in CA
Practice address
1070 Concord Ave # 175
Concord, CA 94520-5699
Phone
(925) 375-1903
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 32390 CA Primary

Addresses

Primary practice location

1070 Concord Ave # 175
Concord, CA 94520-5699

Mailing address

1070 Concord Ave # 175
Concord, CA 94520-5699
Phone (925) 375-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828001565 CA Practitioner - Chiropractic 4587970082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1070 Concord Ave
Suite 175
Concord, CA 94520-5699
Phone (925) 375-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32390CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyd Chiropractic, Inc Chiropractor CurrentSince Aug 22, 2016 Accepting new patients
Andrade Cruz Chiropractic Corp Chiropractor CurrentSince Jun 8, 2019 Accepting new patients
Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center Chiropractor PastSince Jun 16, 2008 Accepting new patients

Locations

1708 Park St
Ste 130
Alameda, CA 94501
Phone (510) 205-2305

1070 Concord Ave
#175
Concord, CA 94520
Phone (925) 375-1903

1070 Concord Ave
Ste 175
Concord, CA 94520
Phone (551) 482-8117

6239 College Ave
Ste 201
Oakland, CA 94618
Phone (510) 654-2207

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1649529215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 CONCORD AVE # 175",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205699",
            "telephone_number": "925-375-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 CONCORD AVE # 175",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205699",
            "telephone_number": "925-375-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.