Active NPI
Madison Rebecca Holzworth, DC
- Chiropractor
- Sunnyvale, CA
National Provider Identifier
1093289175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34394
- Practice address
- 260 S Sunnyvale Ave Ste 2
Sunnyvale, CA 94086-6273 - Phone
- (408) 489-5661
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34394 | CA | Primary |
Addresses
Primary practice location
260 S Sunnyvale Ave Ste 2
Sunnyvale, CA 94086-6273
Mailing address
1471 Hanchett Ave
San Jose, CA 95126-2509
Phone (408) 489-5661
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 |
|---|---|---|---|
| 34394 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1093289175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 HANCHETT AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262509",
"telephone_number": "408-489-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S SUNNYVALE AVE STE 2",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866273",
"telephone_number": "408-489-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZWORTH",
"first_name": "MADISON",
"middle_name": "REBECCA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.