Organization Active NPI

Mosca Chiropractic Healing Center a Professional Corporation

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1053573964
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0199250 Issued in CA
Legal business name
MOSCA CHIROPRACTIC HEALING CENTER A PROFESSIONAL CORPORATION
Practice address
20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827
Phone
(408) 354-5645
Fax
(408) 354-5945
NPI assigned
Jul 1, 2008
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas M Mosca, D.C.NPI 1205966504
Title
Owner/Ceo
Phone
(408) 354-5645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC0199250 CA Primary

Addresses

Primary practice location

20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827

Mailing address

20 S Santa Cruz Ave Ste 207
Los Gatos, CA 95030-6827
Phone (408) 354-5645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206000191 CA Part B Supplier - Clinic/Group Practice 9830386788 Receives reassigned benefits from 1 practitioner
Practice locations: Campbell, CA

National Provider Directory

National Provider Directory

Locations

262 E Hamilton Ave
Ste H
Campbell, CA 95008
Phone (408) 354-5645

20 S Santa Cruz Ave
Ste 207
Los Gatos, CA 95030
Phone (408) 354-5645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1053573964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "408-354-5645",
            "fax_number": "408-354-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 207",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "408-354-5645",
            "fax_number": "408-354-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSCA CHIROPRACTIC HEALING CENTER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "MOSCA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "408-354-5645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0199250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.