Individual provider Active NPI

Thomas Hadjiyane, DC

  • Chiropractor
  • San Luis Obispo, CA
National Provider Identifier
1891795530
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17167 Issued in CA
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

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.