Loyola Chiropractic, Dr. Bollman & Dr. Martin, Inc.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

Legal business name

LOYOLA CHIROPRACTIC, DR. BOLLMAN & DR. MARTIN, INC.

Practice address

1000 Fremont Ave Ste 155
Los Altos, CA 94024-6049

Phone

(408) 773-9165

NPI assigned

Dec 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amber Jo Bollman, D.C.

Title

President

Phone

(408) 599-4637

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1154836054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 155",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246049",
            "telephone_number": "408-773-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 155",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246049",
            "telephone_number": "408-773-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA CHIROPRACTIC, DR. BOLLMAN & DR. MARTIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "BOLLMAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-599-4637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Altos Pharmacy Inc.
• Los Altos Psychiatric Medical Group, Inc.
• Los Altos Surgery Center LLC
• Annie Low, O.D.
• Wesley Low
• Jamie Lucia, DC
• Lucky Stores II LLC
• Paige Lucus, PT, DPT
• Xingzhi Luo
• M2 Method Inc

• Pediatric Chiropractor in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Pediatric Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.