Active NPI
Stacey Anne Preston, D.C.
- Chiropractor
- Albany, CA
National Provider Identifier
1962585943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23691
- Practice address
- 902 Santa Fe Ave
Albany, CA 94706-2120 - Phone
- (510) 525-2715
- Fax
- (510) 525-2306
- NPI assigned
- Oct 23, 2006
- 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 | 23691 | CA | Primary |
Addresses
Primary practice location
902 Santa Fe Ave
Albany, CA 94706-2120
Mailing address
902 Santa Fe Ave
Albany, CA 94706-2120
Phone (510) 525-2715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0236910 | Other | CA | BLUE SHIELD OF CALIFORNIA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23691 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962585943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SANTA FE AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062120",
"telephone_number": "510-525-2715",
"fax_number": "510-525-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 SANTA FE AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062120",
"telephone_number": "510-525-2715",
"fax_number": "510-525-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "STACEY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "DC0236910",
"state": "CA"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.