Individual provider Active NPI

Rebecca Hogan, DC

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1891372280
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36050 Issued in CA
Practice address
844 Jackson St
Santa Clara, CA 95050-5419
Phone
(408) 249-0382
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36050 CA Primary

Addresses

Primary practice location

844 Jackson St
Santa Clara, CA 95050-5419

Mailing address

844 Jackson St
Santa Clara, CA 95050-5419
Phone (408) 249-0382

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Novachiro.net

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36050CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Chiropractic - a Shaw Optimal Health Chiropractic Corp Chiropractor CurrentSince Sep 9, 2022 Accepting new patients
El Camino Health Medical Network, LLC PastSince Mar 28, 2021 Accepting new patients

Locations

844 Jackson St
Santa Clara, CA 95050
Phone (408) 249-0382

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1891372280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 JACKSON ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505419",
            "telephone_number": "408-249-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 JACKSON ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505419",
            "telephone_number": "408-249-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "REBECCA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Novachiro.net",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "844 Jackson St",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950505419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.