Individual provider Active NPI

Sharon A Macdonald, D.C.

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1841323383
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29470 Issued in CA
Practice address
4080 Loma Vista Rd Ste H
Ventura, CA 93003-1811
Phone
(805) 648-6866
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 DC29470 CA Primary

Addresses

Primary practice location

4080 Loma Vista Rd Ste H
Ventura, CA 93003-1811

Mailing address

4080 Loma Vista Rd Ste H
Ventura, CA 93003-1811
Phone (805) 648-6866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000430 CA Practitioner - Chiropractic 4082629852 Practice locations: Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Canadian Memorial Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4882 McGrath St
Suite 180
Ventura, CA 93003-7720

4882 McGrath St
Suite 180
Ventura, CA 93003-8012
Phone (805) 648-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29470CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Chiropractic Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1841323383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD STE H",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-648-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD STE H",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-648-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "SHARON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.