Organization Active NPI

Bracamontes Palma Chiropractic and Wellness Inc

  • Clinic/Center
  • San Jose, CA
National Provider Identifier
1316278476
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRACAMONTES PALMA CHIROPRACTIC AND WELLNESS INC
Practice address
1310 Tully Rd
Suite 111
San Jose, CA 95122-3054
Phone
(408) 998-4480
Fax
(408) 998-4484
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Sarah Bracamontes, D.C.NPI 1386695203
Title
Chiropractor/President
Phone
(408) 998-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

1310 Tully Rd
Suite 111
San Jose, CA 95122-3054

Mailing address

1310 Tully Rd
Suite 111
San Jose, CA 95122-3054
Phone (408) 998-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100129000345 CA Part B Supplier - Clinic/Group Practice 9335282334 Receives reassigned benefits from 1 practitioner
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

223 W Main St
Ste D1
Los Gatos, CA 95030
Phone (408) 466-0508

1310 Tully Rd
Ste 111
San Jose, CA 95122
Phone (408) 998-4480

1688 Willow St
Ste J
San Jose, CA 95125
Phone (408) 466-0508

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1316278476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 TULLY RD",
            "address_2": "SUITE 111",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223054",
            "telephone_number": "408-998-4480",
            "fax_number": "408-998-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TULLY RD",
            "address_2": "SUITE 111",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223054",
            "telephone_number": "408-998-4480",
            "fax_number": "408-998-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACAMONTES PALMA CHIROPRACTIC AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "BRACAMONTES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "408-998-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "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 Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.