Provider Demographics
NPI:1073090486
Name:ADAMS, JONATHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 DIAMOND WAY STE B
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5274
Mailing Address - Country:US
Mailing Address - Phone:925-375-5258
Mailing Address - Fax:925-954-6927
Practice Address - Street 1:1280 DIAMOND WAY STE B
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5274
Practice Address - Country:US
Practice Address - Phone:925-375-5258
Practice Address - Fax:925-954-6927
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34543111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA67744OtherINSURANCE PLUS