Individual provider Active NPI

Vitaly Mozeson, D.C.

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1447347109
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28266 Issued in CA
Practice address
2248 Park Blvd
Palo Alto, CA 94306-1532
Phone
(650) 328-4411
NPI assigned
Oct 6, 2006
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28266 CA Primary

Addresses

Primary practice location

2248 Park Blvd
Palo Alto, CA 94306-1532

Mailing address

169 Miramontes Ave
Half Moon Bay, CA 94019-1888
Phone (650) 328-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28266CAMDClinical Social Worker
DC28266CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Chiropractic Chiropractor Current Accepting new patients

Locations

2248 Park Blvd
Palo Alto, CA 94306
Phone (650) 328-4411

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1447347109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MIRAMONTES AVE",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191888",
            "telephone_number": "650-328-4411",
            "fax_number": "650-328-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 PARK BLVD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061532",
            "telephone_number": "650-328-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZESON",
        "first_name": "VITALY",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28266",
            "primary": true
        }
    ],
    "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 Feb 26, 2026; 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.