Individual provider Active NPI

Matthew G. Jagels, D.C.

  • Chiropractor
  • Livermore, CA
National Provider Identifier
1669504932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25453 Issued in CA
Practice address
988 Murrieta Blvd
Livermore, CA 94550-4063
Phone
(925) 373-6363
Fax
(925) 373-6682
NPI assigned
Mar 12, 2007
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 DC25453 CA Primary

Addresses

Primary practice location

988 Murrieta Blvd
Livermore, CA 94550-4063

Mailing address

2308 Manhattan Way
Modesto, CA 95358-8014
Phone (209) 380-8847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091205000074 CA Practitioner - Chiropractic 5799824637 Practice locations: Livermore, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 Murrieta Blvd
Suite 100
Livermore, CA 94550-4113
Phone (925) 373-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25453CAMDChiropractor
25453CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Chiropractic Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669504932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 MANHATTAN WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953588014",
            "telephone_number": "209-380-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504063",
            "telephone_number": "925-373-6363",
            "fax_number": "925-373-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGELS",
        "first_name": "MATTHEW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, 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.
  • 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.