Individual provider Active NPI

Anthony Cresci, D.C.

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1790039022
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31034 Issued in CA
Practice address
190 W 25TH Ave
#4
San Mateo, CA 94403-2298
Phone
(650) 349-2222
NPI assigned
Nov 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31034 CA Primary

Addresses

Primary practice location

190 W 25TH Ave
#4
San Mateo, CA 94403-2298

Mailing address

190 W 25TH Ave
#4
San Mateo, CA 94403-2298
Phone (650) 349-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001865 CA Practitioner - Chiropractic 6901289446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 Ygnacio Valley Rd
Suite A3
Walnut Creek, CA 94598-3388
Phone (925) 476-5070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31034CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic Rehab & Wellness Rosenstein & Cresci Inc. Chiropractor CurrentSince Jun 1, 2022 Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

2021 Ygnacio Valley Rd
Ste A3
Walnut Creek, CA 94598
Phone (925) 476-5070

2121 Ygnacio Valley Rd
Ste F
Walnut Creek, CA 94598
Phone (925) 369-0122

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1790039022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE",
            "address_2": "#4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032298",
            "telephone_number": "650-349-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE",
            "address_2": "#4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032298",
            "telephone_number": "650-349-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCI",
        "first_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.