Sidhartha Jandial, D.C.
Individual provider Active NPI Chiropractor · Millbrae, CA
NPI 1033535802 · NPPES record last updated Mar 24, 2014
Key facts
- NPI
- 1033535802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 32886 (CA)
- Practice address
- 199 California Dr Ste 100
Millbrae, CA 94030-3118 - Phone
- (650) 692-2273
- NPI assigned
- Mar 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1818 Gilbreth Rd
Suite 220
Burlingame, CA 94010-1222
Phone (650) 307-5552
455 Ave Alhambra
Suite 6
El Granada, CA 94018-8132
Phone (650) 726-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140828002505 | CA | Practitioner - Chiropractic | 6800014689 |
Reassigns benefits to 2 organizations Practice locations: Millbrae, CA |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32886 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidhartha Jandial Chiropractic Corporation | Chiropractor | Current |
Accepting new patients |
| Jandial Corp | Chiropractor | Current |
Accepting new patients |
| Balch Chiropractic PC | Past |
Accepting new patients | |
| Palo Alto Medical Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32886 | CA | Yes |
Addresses
Primary practice location
199 California Dr Ste 100
Millbrae, CA 94030-3118
Mailing address
199 California Dr Ste 100
Millbrae, CA 94030-3118
Phone (650) 692-2273
Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.