Active NPI
Yourbodyworks
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Palo Alto, CA
National Provider Identifier
1417184102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- YOURBODYWORKS
- Practice address
- 2328 Williams St
Palo Alto, CA 94306-1420 - Phone
- (650) 906-2256
- Fax
- (650) 906-2256
- NPI assigned
- Jun 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Latady, BS PT MT
- Title
- Owner/Provider
- Phone
- (650) 906-2256
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28108 | CA | |
| Chiropractor | 111N00000X | DC26475 | CA | |
| Sports Physician Chiropractor | 111NS0005X | DC24240 | CA | |
| Sports Physician Chiropractor | 111NS0005X | DC18956 | CA | |
| Occupational Health Chiropractor | 111NX0100X | DC18667 | CA | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A23308 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A35335 | CA | |
| Gastroenterology Physician | 207RG0100X | A45948 | CA | |
| Gynecology Physician | 207VG0400X | A67511 | CA | |
| Gynecology Physician | 207VG0400X | A49312 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | A72343 | CA | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | |||
| Occupational Medicine Physician | 2083X0100X | G21506 | CA | |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | G59606 | CA |
Addresses
Primary practice location
2328 Williams St
Palo Alto, CA 94306-1420
Mailing address
2328 Williams St
Palo Alto, CA 94306-1420
Phone (650) 906-2256
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1417184102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 WILLIAMS ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061420",
"telephone_number": "650-906-2256",
"fax_number": "650-906-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 WILLIAMS ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061420",
"telephone_number": "650-906-2256",
"fax_number": "650-906-2256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOURBODYWORKS",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-19",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "LATADY",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "650-906-2256",
"authorized_official_credential": "BS PT MT"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28108",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26475",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC24240",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC18956",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "DC18667",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A23308",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A35335",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A45948",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A67511",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A49312",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A72343",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "G21506",
"primary": false
},
{
"code": "209800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "CA",
"license": "G59606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.