Lisa de la Torres Main Street Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24969 Issued in CA

Legal business name

LISA DE LA TORRES MAIN STREET CHIROPRACTIC INC

Practice address

291 E Main St
B1
Los Gatos, CA 95030-6137

Phone

(408) 395-4333

Fax

(408) 395-7692

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lisa De la Torre, D.C.NPI 1912997610

Title

Owner/President

Phone

(408) 395-4333

Specialties & licenses 1

Addresses

Other names 1

• Main Street Chiropractic, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Lisa De la Torre, D.C.

  • Chiropractor
  • Los Gatos, CA
  • NPI 1912997610
  Medicare reassignment Authorized official
• Kristi Rene Clay, DC

  • Chiropractor
  • Los Gatos, CA
  • NPI 1073735650
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1326038134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST",
            "address_2": "B1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-395-4333",
            "fax_number": "408-395-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E MAIN ST",
            "address_2": "B1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306137",
            "telephone_number": "408-395-4333",
            "fax_number": "408-395-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DE LA TORRES MAIN STREET CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "408-395-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucy L. Lin, M.D.
• Peter T Lin, MD
• Paul Anthony Lippi, D.D.S.
• Cam Lippincott
• Vanessa Alicia Lira
• Edward C. Littlejohn, M.D.
• Meagan Marie Littlepage, M.D.
• Liu Plastic Surgery, a Professional Corporation
• Jerome H Liu, M.D.
• Justin Liu, M.D.

• Chiropractor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.