Individual provider Active NPI

Jonathan Warren, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1659936722
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34514 Issued in CA
Practice address
21 Columbus Ave Ste 200
San Francisco, CA 94111-2124
Phone
(415) 373-3897
Fax
(866) 543-9129
NPI assigned
May 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 34514 CA Primary

Addresses

Primary practice location

21 Columbus Ave Ste 200
San Francisco, CA 94111-2124

Mailing address

21 Columbus Ave Ste 200
San Francisco, CA 94111-2124
Phone (415) 373-3897

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

State licenses

LicenseStateTypeSpecialty
34514CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1659936722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COLUMBUS AVE STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112124",
            "telephone_number": "415-373-3897",
            "fax_number": "866-543-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COLUMBUS AVE STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112124",
            "telephone_number": "415-373-3897",
            "fax_number": "866-543-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.