NPIMap

Organization Active NPI

Goldhamer & Marano Chiropractic Ctr, Inc.

  • Chiropractor
  • Santa Rosa, CA
National Provider Identifier
1750565123
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15539 Issued in CA
Legal business name
GOLDHAMER & MARANO CHIROPRACTIC CTR, INC.
Practice address
1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone
(707) 586-5555
Fax
(707) 303-4377
NPI assigned
Dec 20, 2007
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Alan Goldhamer, D.C.NPI 1821023821
Title
Owner
Phone
(707) 586-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15539 CA Primary

Addresses

Primary practice location

1551 Pacific Ave
Santa Rosa, CA 95404-3568

Mailing address

1551 Pacific Ave
Santa Rosa, CA 95404-3568
Phone (707) 586-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081103000329 CA Part B Supplier - Clinic/Group Practice 6709945991 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

1551 Pacific Ave
Santa Rosa, CA 95404
Phone (707) 586-5555

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1750565123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PACIFIC AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043568",
            "telephone_number": "707-586-5555",
            "fax_number": "707-303-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PACIFIC AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043568",
            "telephone_number": "707-586-5555",
            "fax_number": "707-303-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDHAMER & MARANO CHIROPRACTIC CTR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "GOLDHAMER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-586-5555",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.