Individual provider Active NPI

Qudsia Sadiq, D.C.

  • Chiropractor
  • Ontario, CA
National Provider Identifier
1750617825
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30780 Issued in CA
Practice address
2990 Inland Empire Blvd
Suite #109
Ontario, CA 91764-4899
Phone
(909) 941-4747
Fax
(909) 941-4743
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30780 CA Primary

Addresses

Primary practice location

2990 Inland Empire Blvd
Suite #109
Ontario, CA 91764-4899

Mailing address

2990 Inland Empire Blvd
Suite #109
Ontario, CA 91764-4899
Phone (909) 941-4747

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 30780CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1750617825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 INLAND EMPIRE BLVD",
            "address_2": "SUITE #109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644899",
            "telephone_number": "909-941-4747",
            "fax_number": "909-941-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 INLAND EMPIRE BLVD",
            "address_2": "SUITE #109",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644899",
            "telephone_number": "909-941-4747",
            "fax_number": "909-941-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "QUDSIA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.