Active NPI
Asghar Jay Ebadat, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1780605667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23643
- Practice address
- 1066 Saratoga Avenue
Suite 120
San Jose, CA 95129-3432 - Phone
- (408) 244-6555
- Fax
- (408) 244-9251
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23643 | CA | Primary |
Addresses
Primary practice location
1066 Saratoga Avenue
Suite 120
San Jose, CA 95129-3432
Mailing address
1066 Saratoga Avenue
Suite 120
San Jose, CA 95129-3432
Phone (408) 244-6555
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23643 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ebadat Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- San Jose, CA
- NPI 1659806198
-
- Chiropractor
- San Jose, CA
- NPI 1003006404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1780605667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 SARATOGA AVENUE",
"address_2": "SUITE 120",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293432",
"telephone_number": "408-244-6555",
"fax_number": "408-244-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 SARATOGA AVENUE",
"address_2": "SUITE 120",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293432",
"telephone_number": "408-244-6555",
"fax_number": "408-244-9251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBADAT",
"first_name": "ASGHAR",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.