Active NPI
Manvir Takhar
- Sports Physician Chiropractor
- San Jose, CA
National Provider Identifier
1023624392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC37226
- Practice address
- 5489 Snell Ave
San Jose, CA 95123-1541 - Phone
- (408) 893-0878
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC37226 | CA | Primary |
Addresses
Primary practice location
5489 Snell Ave
San Jose, CA 95123-1541
Mailing address
1812 Park Ave Apt 1
San Jose, CA 95126-1630
Phone (408) 893-0878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC37226 | CA | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1023624392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 PARK AVE APT 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261630",
"telephone_number": "408-893-0878",
"fax_number": "408-893-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5489 SNELL AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231541",
"telephone_number": "408-893-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKHAR",
"first_name": "MANVIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC37226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.