Individual provider Active NPI

Yulia Kiselev, D.C.

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1316167869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26422 Issued in CA
Practice address
4962 El Camino Real
Ste. 204
Los Altos, CA 94022-1454
Phone
(650) 210-8981
Fax
(650) 210-0070
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26422 CA Primary

Addresses

Primary practice location

4962 El Camino Real
Ste. 204
Los Altos, CA 94022-1454

Mailing address

561 Driscoll PL
Palo Alto, CA 94306-4056
Phone (650) 856-8849

Other identifiers 1

IdentifierTypeStateIssuer
DC0264220OtherCATIN IDENTIFICATION NUMBER

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

LicenseStateTypeSpecialty
DC26422CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316167869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 DRISCOLL PL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064056",
            "telephone_number": "650-856-8849",
            "fax_number": "650-856-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 EL CAMINO REAL",
            "address_2": "STE. 204",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221454",
            "telephone_number": "650-210-8981",
            "fax_number": "650-210-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISELEV",
        "first_name": "YULIA",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN IDENTIFICATION NUMBER",
            "identifier": "DC0264220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.