Active NPI
Jessica Anaya, D.C.
- Chiropractor
- Antioch, CA
National Provider Identifier
1922121805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 29688
- Practice address
- 1407 A St
Suite D
Antioch, CA 94509-2357 - Phone
- (925) 759-1011
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- 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 | DC 29688 | CA | Primary |
Addresses
Primary practice location
1407 A St
Suite D
Antioch, CA 94509-2357
Mailing address
1407 A St Ste D
Antioch, CA 94509-2357
Phone (925) 759-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29688 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey a Duckett Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Antioch, CA
- NPI 1013155423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1922121805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 A ST STE D",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945092357",
"telephone_number": "925-759-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 A ST",
"address_2": "SUITE D",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945092357",
"telephone_number": "925-759-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAYA",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 29688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.