Active NPI
Vikki Mernone Petersen, DC
- Chiropractor
- Sunnyvale, CA
National Provider Identifier
1164594610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 21733
- Practice address
- 1309 S Mary Ave
Suite 100
Sunnyvale, CA 94087-3050 - Phone
- (408) 733-0400
- Fax
- (408) 733-4388
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | DC 21733 | CA | Primary |
Addresses
Primary practice location
1309 S Mary Ave
Suite 100
Sunnyvale, CA 94087-3050
Mailing address
1309 S Mary Ave
Suite 100
Sunnyvale, CA 94087-3050
Phone (408) 733-0400
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 |
|---|---|---|---|
| DC 21733 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Now Medical Center, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164594610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 S MARY AVE",
"address_2": "SUITE 100",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873050",
"telephone_number": "408-733-0400",
"fax_number": "408-733-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S MARY AVE",
"address_2": "SUITE 100",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873050",
"telephone_number": "408-733-0400",
"fax_number": "408-733-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "VIKKI",
"middle_name": "MERNONE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 21733",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.