Mark E Gray DC Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23084 Issued in CA

Legal business name

MARK E GRAY DC CHIROPRACTIC CORP

Doing business as

Chiro Fitness

Practice address

150 E Fremont Ave
Sunnyvale, CA 94087

Phone

(408) 720-0941

Fax

(408) 991-0966

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brian S Ota, DCNPI 1902080609

Title

Chiropractic Doctor

Phone

(408) 720-0941

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiro Fitness Doing business as

Locations

Practitioners 2

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

• Brian S. Ota, D.C.

  • Chiropractor
  • Sunnyvale, CA
  • NPI 1902080609
  NPD (past) Authorized official
• Mark E. Gray, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1669656351
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1376602094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 E EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-248-7960",
            "fax_number": "408-554-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-720-0941",
            "fax_number": "408-991-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E GRAY DC CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTIC DOCTOR",
        "authorized_official_telephone_number": "408-720-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ40577Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne M Marcus, PA
• Smita Marfatia, PT
• Rana Jaylene Marinas, FNP
• Jeanette Marino, MS, LCGC
• Mark David Levinem MD Sunnyvale PC
• Mark E Gray DC Chiropractic Corp
• Mark S Ichikawa, OD
• Mark William Dal Porto DDS Inc
• David Bruce Mark, M.D.
• /Carol Louise Marks, M.S.

• Chiropractor in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.