Performance Sports Clinic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

32460 Issued in CA

Legal business name

PERFORMANCE SPORTS CLINIC

Practice address

16615 Lark Ave
Suite 203
Los Gatos, CA 95032-7645

Phone

(408) 402-3427

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Saundra Cobos Namimatsu, D.C.NPI 1699809053

Title

Manager

Phone

(408) 402-3427

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saundra Cobos Namimatsu, D.C.

  • Sports Physician Chiropractor
  • San Jose, CA
  • NPI 1699809053
  NPD (past) Authorized official

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1144549429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16615 LARK AVE",
            "address_2": "SUITE 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327645",
            "telephone_number": "408-402-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 LARK AVE",
            "address_2": "SUITE 203",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327645",
            "telephone_number": "408-402-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SPORTS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "NAMIMATSU",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "COBOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-402-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pellegrin Broad Morse & Moy MDS & DO
• James Michael Pellegrin, MD
• Elmma Judith Pena, P.T.
• Chase Perez, DPT
• Manuel Alex Perez
• Bradford Thomas Perkins, M.D.
• Stephanie Perrault
• Anne Perry, PSYD
• Michelle Perry
• William Litt Perry, D.D.S.

• Sports Physician Chiropractor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.