Individual provider Active NPI

Strawberry G Weber, D.C.

  • Chiropractor
  • Red Bluff, CA
National Provider Identifier
1902934920
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26168 Issued in CA
Practice address
658 Washington St
Red Bluff, CA 96080-3321
Phone
(530) 527-0263
Fax
(530) 527-0202
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 DC26168 CA Primary

Addresses

Primary practice location

658 Washington St
Red Bluff, CA 96080-3321

Mailing address

658 Washington St
Red Bluff, CA 96080-3321
Phone (530) 527-0263

Other identifiers 1

IdentifierTypeStateIssuer
202222168OtherCATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001156 CA Practitioner - Chiropractic 6305892597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

658 Washington St
Red Bluff, CA 96080-3321
Phone (530) 527-0263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26168CAMDClinical Social Worker
DC26168CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strawberry G Weber Chiropractic, Inc CurrentSince Jan 7, 2019 Accepting new patients
Kuersten Medical Corp. Past Accepting new patients

Locations

658 Washington St
Red Bluff, CA 96080
Phone (530) 527-0263

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1902934920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803321",
            "telephone_number": "530-527-0263",
            "fax_number": "530-527-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803321",
            "telephone_number": "530-527-0263",
            "fax_number": "530-527-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "STRAWBERRY",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "202222168",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.