Individual provider Active NPI

Angelica Farrell, DC

  • Chiropractor
  • Rohnert Park, CA
National Provider Identifier
1962524660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27429 Issued in CA
Practice address
443 Rohnert Park Expy W
Rohnert Park, CA 94928-7907
Phone
(707) 206-9717
Fax
(707) 206-9509
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27429 CA Primary

Addresses

Primary practice location

443 Rohnert Park Expy W
Rohnert Park, CA 94928-7907

Mailing address

443 Rohnert Park Expy W
Rohnert Park, CA 94928-7907
Phone (707) 206-9717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000459 CA Practitioner - Chiropractic 2860447695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

443 Rohnert Park Expy W
Rohnert Park, CA 94928-7907
Phone (707) 206-9717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27429CAMDChiropractor
27429CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farrell Chiropractic, Inc. Chiropractor CurrentSince Sep 17, 2011 Accepting new patients

Locations

443 Rohnert Park Expy W
Rohnert Park, CA 94928
Phone (707) 206-9717

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962524660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 ROHNERT PARK EXPY W",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949287907",
            "telephone_number": "707-206-9717",
            "fax_number": "707-206-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 ROHNERT PARK EXPY W",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949287907",
            "telephone_number": "707-206-9717",
            "fax_number": "707-206-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.