Shafiq Ansari, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31730 Issued in CA

Practice address

200 Brown Rd Ste 112
Fremont, CA 94539-7984

Phone

(408) 219-0979

Fax

(408) 984-2456

NPI assigned

Sep 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992012678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROWN RD STE 112",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397984",
            "telephone_number": "408-219-0979",
            "fax_number": "408-984-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROWN RD STE 112",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397984",
            "telephone_number": "408-219-0979",
            "fax_number": "408-984-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3234 McKinley Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950516765",
            "country_code": "US",
            "telephone_number": "408-984-2455",
            "fax_number": "408-984-2456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "SHAFIQ",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31730",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "2444277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamiem Mohammed Ansari
• Jennifer Stephanie Anton
• Lisbeth Anton
• Luisa Antonio
• Stella Antony, DNP, PMHNP-BC.

• Chiropractor in Fremont, CA
• Providers in Fremont, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.