Organization Active NPI

Robert L Mascarotti Esprit Healing Center

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1437557030
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18873 Issued in CA
Legal business name
ROBERT L MASCAROTTI ESPRIT HEALING CENTER
Practice address
1058 Lincoln Ave
San Jose, CA 95125-3110
Phone
(408) 275-6622
Fax
(408) 275-1517
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Dr. Robert R Mascarotti, D.C.
Title
Owner
Phone
(408) 275-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC18873 CA Primary

Addresses

Primary practice location

1058 Lincoln Ave
San Jose, CA 95125-3110

Mailing address

1058 Lincoln Ave
San Jose, CA 95125-3110
Phone (408) 275-6622

National Provider Directory

National Provider Directory

Locations

1058 Lincoln Ave
San Jose, CA 95125
Phone (408) 275-6622

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1437557030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "408-275-6622",
            "fax_number": "408-275-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 LINCOLN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "408-275-6622",
            "fax_number": "408-275-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L MASCAROTTI ESPRIT HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "MASCAROTTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-275-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18873",
            "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 Dec 12, 2014; 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.