Active NPI
Peninsula Wellness Centre
- Chiropractor
- Mountain View, CA
National Provider Identifier
1184246696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PENINSULA WELLNESS CENTRE
- Practice address
- 2425 Callifornia St Ste E
Mountain View, CA 94040 - Phone
- (650) 961-2429
- Fax
- (650) 969-1107
- NPI assigned
- May 7, 2020
- Last updated
- May 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Johnny Van Duong, DC
- Title
- Owner
- Phone
- (909) 961-2429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
2425 Callifornia St Ste E
Mountain View, CA 94040
Mailing address
2425 California St Ste E
Mountain View, CA 94040-1462
Phone (650) 961-2429
Other names 1
- Landis Management Services
National Provider Directory
National Provider DirectoryLocations
2425 California St
Ste E
Mountain View, CA 94040
Phone (650) 961-2429
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Mountain View, CA
- NPI 1457859472
-
- Chiropractor
- Mountain View, CA
- NPI 1083101232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588809600000",
"number": "1184246696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 CALIFORNIA ST STE E",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940401462",
"telephone_number": "650-961-2429",
"fax_number": "650-969-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 CALLIFORNIA ST STE E",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-961-2429",
"fax_number": "650-969-1107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENINSULA WELLNESS CENTRE",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-961-2429",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Landis Management Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.