NPIMap

Organization Active NPI

Sanchez Chiropractic Wellness Center Pain Management

Doing business as Star Wellness Center/Sanchez Star Clinic

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1477507556
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29588 Issued in CA
Legal business name
SANCHEZ CHIROPRACTIC WELLNESS CENTER PAIN MANAGEMENT
Doing business as
Star Wellness Center/Sanchez Star Clinic
Practice address
2516 Samaritan Dr
Suite J
San Jose, CA 95124-4108
Phone
(408) 356-2061
Fax
(408) 356-2071
NPI assigned
May 21, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. Fredy Fernando Sanchez, D.C., P.TNPI 1093753113
Title
C.E.O
Phone
(408) 356-2061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29588 CA Primary
Physical Therapist 225100000X PT 2966 CA

Addresses

Primary practice location

2516 Samaritan Dr
Suite J
San Jose, CA 95124-4108

Mailing address

2516 Samaritan Dr
Suite J
San Jose, CA 95124-4108
Phone (408) 356-2061

Other names 1

  • Star Wellness Center/Sanchez Star Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1477507556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-356-2061",
            "fax_number": "408-356-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SAMARITAN DR",
            "address_2": "SUITE J",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244108",
            "telephone_number": "408-356-2061",
            "fax_number": "408-356-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ CHIROPRACTIC WELLNESS CENTER PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "FREDY",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "408-356-2061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29588",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 2966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Wellness Center/Sanchez Star Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2013; 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.