Organization Active NPI

Desmarais Chiropractic, Inc.

  • Neurology Chiropractor
  • South San Francisco, CA
National Provider Identifier
1992028021
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC20163 Issued in CA
Legal business name
DESMARAIS CHIROPRACTIC, INC.
Practice address
1405 Huntington Ave Ste 102
South San Francisco, CA 94080-5965
Phone
(650) 588-9962
Fax
(650) 588-9964
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Ronald Roland Desmarais, DCNPI 1710995857
Title
President
Phone
(650) 588-9962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X DC20163 CA Primary

Addresses

Primary practice location

1405 Huntington Ave Ste 102
South San Francisco, CA 94080-5965

Mailing address

1405 Huntington Ave Ste 102
South San Francisco, CA 94080-5965
Phone (650) 588-9962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000719 CA Part B Supplier - Clinic/Group Practice 0143401653 Receives reassigned benefits from 1 practitioner
Practice locations: South San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1405 Huntington Ave
Ste 102
South San Francisco, CA 94080
Phone (650) 588-9962

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1992028021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HUNTINGTON AVE STE 102",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805965",
            "telephone_number": "650-588-9962",
            "fax_number": "650-588-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HUNTINGTON AVE STE 102",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805965",
            "telephone_number": "650-588-9962",
            "fax_number": "650-588-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESMARAIS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "DESMARAIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-588-9962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC20163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.