Individual provider Active NPI

Stefanie Danielle Yuen Ochs, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1164694949
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30881 Issued in CA
Practice address
100 Oconnor Dr Ste 29
San Jose, CA 95128-1655
Phone
(408) 761-6364
NPI assigned
Apr 1, 2008
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30881 CA
Chiropractor 111N00000X DC30881 CA Primary

Addresses

Primary practice location

100 Oconnor Dr Ste 29
San Jose, CA 95128-1655

Mailing address

100 Oconnor Dr Ste 29
San Jose, CA 95128-1655
Phone (408) 761-6364

Other identifiers 1

IdentifierTypeStateIssuer
DC30881OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000551 CA Practitioner - Chiropractic 1951462928 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30881CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Center Inc Chiropractor Past Accepting new patients
Coyle Chiropractic Corp. Chiropractor PastSince Apr 26, 2020 Accepting new patients
Advanced DME LLC PastSince Apr 20, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1164694949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 29",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281655",
            "telephone_number": "408-761-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 29",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281655",
            "telephone_number": "408-761-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHS",
        "first_name": "STEFANIE",
        "middle_name": "DANIELLE YUEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30881",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC30881",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.