Individual provider Active NPI

Asghar Jay Ebadat, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1780605667
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23643 Issued in CA
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

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC23643CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ebadat Chiropractic Inc. Chiropractor PastSince Sep 1, 2001 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.

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.

Verify at the official NPI Registry.