Individual provider Active NPI

Tyrone Lee Isquirdo, D.C., Q.M.E.

  • Chiropractor
  • Union City, CA
National Provider Identifier
1902946098
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17714 Issued in CA
Practice address
32145 Alvarado Niles Rd
Suite 105
Union City, CA 94587-2930
Phone
(510) 471-2112
Fax
(510) 471-1089
NPI assigned
Feb 7, 2007
Sex
Male
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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC17714 CA
Sports Physician Chiropractor 111NS0005X DC17714 CA
Occupational Health Chiropractor 111NX0100X DC17714 CA
Chiropractor 111N00000X DC17714 CA Primary

Addresses

Primary practice location

32145 Alvarado Niles Rd
Suite 105
Union City, CA 94587-2930

Mailing address

32145 Alvarado Niles Rd
Suite 105
Union City, CA 94587-2930
Phone (510) 471-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217001763 CA Practitioner - Chiropractic 2163723024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1930 S Bascom Ave
Campbell, CA 95008-2364
Phone (408) 340-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17714CAMDRehabilitation Chiropractor
17714CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrone & Dayna Isquirdo Chiropractic Corporation Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
Yangdc Chiropractic Professional Corporation Chiropractor CurrentSince Jan 1, 2023 Accepting new patients

Locations

1930 S Bascom Ave
Ste 230
Campbell, CA 95008
Phone (408) 340-5055

1930 S Bascom Ave
Campbell, CA 95008
Phone (408) 340-5055

7450 San Ramon Rd
Dublin, CA 94568
Phone (925) 829-8484

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1902946098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32145 ALVARADO NILES RD",
            "address_2": "SUITE 105",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872930",
            "telephone_number": "510-471-2112",
            "fax_number": "510-471-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32145 ALVARADO NILES RD",
            "address_2": "SUITE 105",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872930",
            "telephone_number": "510-471-2112",
            "fax_number": "510-471-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISQUIRDO",
        "first_name": "TYRONE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C., Q.M.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC17714",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC17714",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC17714",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, 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.