Active NPI
Thomas Hadjiyane, DC
- Chiropractor
- San Luis Obispo, CA
National Provider Identifier
1891795530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17167
- Practice address
- 1264 Higuera St
Ste. 107-a
San Luis Obispo, CA 93401-3124 - Phone
- (805) 543-8199
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 17167 | CA | Primary |
Addresses
Primary practice location
1264 Higuera St
Ste. 107-a
San Luis Obispo, CA 93401-3124
Mailing address
2718 Santa Barbara Ave
Ste. 107-a
Cayucos, CA 93430-1471
Phone (805) 543-8199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111130000622 | CA | Practitioner - Chiropractic | 7618141623 | Practice locations: San Luis Obispo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1264 Higuera St
107A
San Luis Obispo, CA 93401-3130
Phone (805) 543-8199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1891795530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 SANTA BARBARA AVE",
"address_2": "STE. 107-A",
"city": "CAYUCOS",
"state": "CA",
"postal_code": "934301471",
"telephone_number": "805-543-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 HIGUERA ST",
"address_2": "STE. 107-A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013124",
"telephone_number": "805-543-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADJIYANE",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.