Active NPI
Andrew W Sulyma, DO
- Chiropractor
- Fremont, CA
National Provider Identifier
1295899383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 26316
- Practice address
- 34767 Ardenwood Blvd
Fremont, CA 94555-3654 - Phone
- (510) 299-5224
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- 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 | DC 26316 | CA | Primary |
Addresses
Primary practice location
34767 Ardenwood Blvd
Fremont, CA 94555-3654
Mailing address
PO Box 1451
Newark, CA 94560-6451
Phone (510) 791-1811
Other practice location 1
35243 Farnham Dr
Newark, CA 94560-1401
Phone (510) 299-5224
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 26316 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295899383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1451",
"city": "NEWARK",
"state": "CA",
"postal_code": "945606451",
"telephone_number": "510-791-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34767 ARDENWOOD BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945553654",
"telephone_number": "510-299-5224"
}
],
"practiceLocations": [
{
"address_1": "35243 Farnham Dr",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "CA",
"postal_code": "945601401",
"country_code": "US",
"telephone_number": "510-299-5224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULYMA",
"first_name": "ANDREW",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 26316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.