Individual provider Active NPI

Ashley Fava Madden, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1962775163
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32202 Issued in CA
Practice address
3900 Fifth Ave
Suite 230
San Diego, CA 92103-3121
Phone
(619) 299-9722
Fax
(619) 299-9713
NPI assigned
Feb 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32202 CA Primary

Addresses

Primary practice location

3900 Fifth Ave
Suite 230
San Diego, CA 92103-3121

Mailing address

3900 Fifth Ave
Suite 230
San Diego, CA 92103-3121
Phone (619) 299-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000603 CA Practitioner - Chiropractic 2567624596 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1545 Hotel Cir S
Suite 270
San Diego, CA 92108-3414
Phone (619) 840-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32202CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Madden Family Chiropractic, Inc Chiropractor CurrentSince Jan 5, 2020 Accepting new patients
Brew Chiropractic, a Professional Corporation Chiropractor PastSince May 18, 2010 Accepting new patients

Locations

1545 Hotel Cir S
Ste 270
San Diego, CA 92108
Phone (619) 738-0933

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": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1962775163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FIFTH AVE",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033121",
            "telephone_number": "619-299-9722",
            "fax_number": "619-299-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FIFTH AVE",
            "address_2": "SUITE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033121",
            "telephone_number": "619-299-9722",
            "fax_number": "619-299-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "ASHLEY",
        "middle_name": "FAVA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.