Individual provider Active NPI

Alexandra Irene Fonseca, DC

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1659958692
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34511 Issued in CA
Practice address
605 Market St Ste 1250
San Francisco, CA 94105-3220
Phone
(415) 236-1810
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34511 CA Primary

Addresses

Primary practice location

605 Market St Ste 1250
San Francisco, CA 94105-3220

Mailing address

605 Market St Ste 1250
San Francisco, CA 94105-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830003168 CA Practitioner - Chiropractic 6305253493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bailey Cruze Premier Health Chiropractic, Inc.Group PAC ID 5597136804, 8 clinicians

Practice addresses (Care Compare)

605 Market St
Suite 1250
San Francisco, CA 94105-3220
Phone (415) 236-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Cruze Premier Health Chiropractic, Inc. Chiropractor CurrentSince Aug 17, 2023 Accepting new patients

Locations

2001 Union St
Ste 440
San Francisco, CA 94123
Phone (415) 236-1810

605 Market St
Ste 1250
San Francisco, CA 94105
Phone (415) 236-1810

582 Market St
Ste 403
San Francisco, CA 94104
Phone (415) 236-1810

1756 Lacassie Ave
Ste 101
Walnut Creek, CA 94596
Phone (925) 433-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1659958692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MARKET ST STE 1250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MARKET ST STE 1250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053220",
            "telephone_number": "415-236-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "ALEXANDRA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34511",
            "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 Mar 25, 2021; 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.