RISE BODYWORKSA BEALL CHIROPRACTIC CORP (NPI# 1124572003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572003 |
| Entity Type | Organization |
| Organization Name | RISE BODYWORKSA BEALL CHIROPRACTIC CORP |
| Practice Address |
930 Central Ave Alameda CA 94501-3406 |
| Practice Telephone | 4089842455 |
| Practice Fax Number | 4089842456 |
| Mailing Telephone | 4089842455 |
| Mailing Fax Number | 4089842456 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | DR. DAMON CHARLES FRACH (BILLING MANAGER) |
| Authorized Official Telephone | 4084785092 |
| Authorized Official Credential | P.H.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC031508 | CA | Chiropractic Providers |
| Street Address |
930 CENTRAL AVE |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447891577 | Cameron Scott Penta | Chiropractor | 1708 Park St Ste 130, Alameda, CA 94501-1998 | 2019-09-30 |
| 1982158838 | Davis Nguyen | Chiropractor | 2504 Santa Clara Ave Ste 1-2, Alameda, CA 94501-3074 | 2016-08-09 |
| 1629426275 | Mary Whalen | Chiropractor | 1086 1/2 Park Ave, Alameda, CA 94501-5232 | 2016-05-24 |
| 1194180794 | Tim Heath | Chiropractor | 2381 Mariner Square Dr., #170, Alameda, CA 94501-5403 | 2015-12-23 |
| 1568712545 | Suzanne Mae Lee | Chiropractor | 1505 Webster St, Alameda, CA 94501-3321 | 2012-09-17 |
| 1477822435 | Boyd Chiropractic, Inc | Chiropractor | 1708 Park Street, Suite 130, Alameda, CA 94501-1408 | 2011-12-21 |
| 1245532076 | Carol Ngar Ngo | Chiropractor | 1613 Alameda Ave Apt 1, Alameda, CA 94501-4071 | 2010-11-30 |
| 1528380656 | John Spencer Beall | Chiropractor | 1226 Park St, Alameda, CA 94501-5212 | 2010-02-16 |
| 1851533780 | Negar Navid | Chiropractor | 2329a Eagle Ave, Alameda, CA 94501-1408 | 2009-03-24 |
| 1508039355 | Marjorie May Lee | Chiropractor | 1204 Lincoln Ave Ste B, Alameda, CA 94501-7436 | 2008-04-11 |
| Find all providers in ALAMEDA | ||||
Please comment or provide details below to improve the information on RISE BODYWORKSA BEALL CHIROPRACTIC CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.