Active NPI
Jennifer Sara Lanett, D.C.
- Chiropractor
- Albany, CA
National Provider Identifier
1962497446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28112
- Practice address
- 828 San Pablo Ave Ste 107
Albany, CA 94706-1678 - Phone
- (510) 644-4414
- Fax
- (510) 263-5800
- NPI assigned
- Sep 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009470 | IL | |
| Chiropractor | 111N00000X | DC28112 | CA | Primary |
Addresses
Primary practice location
828 San Pablo Ave Ste 107
Albany, CA 94706-1678
Mailing address
PO Box 6857
Albany, CA 94706-0857
Phone (510) 644-4414
Other practice location 1
2506 Shattuck Ave
Berkeley, CA 94704-2722
Phone (510) 644-4414
Other practice location 2
2588 Mission St
Suite #201
San Francisco, CA 94110-2592
Phone (415) 695-1552 ext. 22
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041020000488 | CA | Practitioner - Chiropractic | 6103887575 | Practice locations: Albany, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
828 San Pablo Ave
Suite 107
Albany, CA 94706-1769
Phone (510) 644-4414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28112 | CA | MD | Chiropractor |
| 038-009470 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Imaging | 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.
-
- Radiology Chiropractor
- San Francisco, CA
- NPI 1316007537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962497446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6857",
"city": "ALBANY",
"state": "CA",
"postal_code": "947060857",
"telephone_number": "510-644-4414",
"fax_number": "510-263-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 SAN PABLO AVE STE 107",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061678",
"telephone_number": "510-644-4414",
"fax_number": "510-263-5800"
}
],
"practiceLocations": [
{
"address_1": "2506 Shattuck Ave",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947042722",
"country_code": "US",
"telephone_number": "510-644-4414",
"fax_number": "510-644-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2588 Mission St",
"address_2": "Suite #201",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941102592",
"country_code": "US",
"telephone_number": "415-695-1552 x22",
"fax_number": "415-695-0673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANETT",
"first_name": "JENNIFER",
"middle_name": "SARA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009470",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.