Active NPI
Erika Mizuyama
- Chiropractor
- San Jose, CA
National Provider Identifier
1255918090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35007
- Practice address
- 1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008 - Phone
- (408) 975-9753
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 35007 | CA | Primary |
Addresses
Primary practice location
1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008
Mailing address
1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008
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 |
|---|---|---|---|
| 35007 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Glen Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
1276 Lincoln Ave
Ste 205
San Jose, CA 95125
Phone (408) 975-9753
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.
-
- Chiropractor
- San Jose, CA
- NPI 1215712963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1255918090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 LINCOLN AVE STE 205",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 LINCOLN AVE STE 205",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253008",
"telephone_number": "408-975-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZUYAMA",
"first_name": "ERIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35007",
"primary": true
}
],
"identifiers": [],
"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 Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.