Provider Demographics
NPI:1568563880
Name:DOWNEY, PATRICIA M (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:M
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21001 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE E3
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3469
Mailing Address - Country:US
Mailing Address - Phone:925-875-1459
Mailing Address - Fax:925-875-1777
Practice Address - Street 1:21001 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE E3
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3469
Practice Address - Country:US
Practice Address - Phone:925-875-1459
Practice Address - Fax:925-875-1777
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0277460OtherBLUE SHIELD PROVIDER
CADC0277460OtherBLUE SHIELD PROVIDER
CAU96129Medicare UPIN