Organization Active NPI

SC Sportstherapy

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1184834517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22827 Issued in CA
Legal business name
SC SPORTSTHERAPY
Practice address
345 Spear St
#105
San Francisco, CA 94105-1673
Phone
(415) 896-2273
Fax
(415) 896-2275
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Leslie M Lam
Title
Office Manager
Phone
(415) 896-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC22827 CA Primary

Addresses

Primary practice location

345 Spear St
#105
San Francisco, CA 94105-1673

Mailing address

55 New Montgomery St
Mezzanine
San Francisco, CA 94105-3412
Phone (415) 495-2273

Other identifiers 1

IdentifierTypeStateIssuer
DC0228270OtherCABLUE SHIELD PROVIDER ID

National Provider Directory

National Provider Directory

Locations

55 New Montgomery St
San Francisco, CA 94105
Phone (415) 444-6024

345 Spear St
Ste 105
San Francisco, CA 94105
Phone (415) 896-2273

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184834517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NEW MONTGOMERY ST",
            "address_2": "MEZZANINE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053412",
            "telephone_number": "415-495-2273",
            "fax_number": "415-896-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SPEAR ST",
            "address_2": "#105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051673",
            "telephone_number": "415-896-2273",
            "fax_number": "415-896-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC SPORTSTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-896-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "DC0228270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.