Individual provider Active NPI

Job J Asad, D.C., B.SC

  • Sports Physician Chiropractor
  • Walnut Creek, CA
National Provider Identifier
1669747143
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
34521 Issued in CA
Practice address
1280 Boulevard Way
Suite 106
Walnut Creek, CA 94595-1125
Phone
(925) 289-8011
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 34521 CA Primary

Addresses

Primary practice location

1280 Boulevard Way
Suite 106
Walnut Creek, CA 94595-1125

Mailing address

1280 Boulevard Way
Suite 106
Walnut Creek, CA 94595-1125
Phone (925) 289-8011

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
34521CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Pain Solutions CurrentSince Dec 6, 2020 Accepting new patients

Locations

6603 220th St SW
Ste 102
Mountlake Terrace, WA 98043
Phone (425) 247-3231

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1669747143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 BOULEVARD WAY",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951125",
            "telephone_number": "925-289-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BOULEVARD WAY",
            "address_2": "SUITE 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951125",
            "telephone_number": "925-289-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAD",
        "first_name": "JOB",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C., B.SC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "34521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.