Nicolas Vallejos, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

DC29484 Issued in CA

Practice address

108 Caledonia St Ste a
Sausalito, CA 94965-1973

Phone

(415) 375-8010

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083731871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIDGEWAY # 234",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652104",
            "telephone_number": "415-375-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CALEDONIA ST STE A",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651973",
            "telephone_number": "415-375-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2146 Union St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234004",
            "country_code": "US",
            "telephone_number": "415-375-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEJOS",
        "first_name": "NICOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC29484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peter Van Auken, LMFT
• Gina Vance, CCHT
• Cheryl Ann Vander Waal, MSW
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• Shirley Wantland

• Neurology Chiropractor in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.