Active NPI
Ernest Luong
- Chiropractor
- San Leandro, CA
National Provider Identifier
1902423247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34832
- Practice address
- 1040 Davis St
Ste 201
San Leandro, CA 94577-1519 - Phone
- (408) 260-8292
- NPI assigned
- Jul 2, 2020
- Last updated
- Nov 16, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 34832 | CA | Primary |
Addresses
Primary practice location
1040 Davis St
Ste 201
San Leandro, CA 94577-1519
Mailing address
550 Carmar St
Hayward, CA 94544-5808
Phone (510) 789-7789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1040 Davis St
Suite 201
San Leandro, CA 94577-1519
Phone (510) 789-7789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34832 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Chiropractic Luong | Chiropractor | Current | Accepting new patients |
| New Hope Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1040 Davis St
Ste 201
San Leandro, CA 94577
Phone (408) 260-8292
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hayward, CA
- NPI 1609541614
-
- Chiropractor
- San Jose, CA
- NPI 1447867684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1902423247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CARMAR ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945445808",
"telephone_number": "510-789-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 DAVIS ST",
"address_2": "STE 201",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771519",
"telephone_number": "408-260-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "ERNEST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-02",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.