Individual provider Active NPI

Benjamin Su, DC

  • Chiropractor
  • Sunnyvale, CA
National Provider Identifier
1497360994
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34706 Issued in CA
Practice address
685 E Remington Dr Ste a
Sunnyvale, CA 94087-1982
Phone
(408) 673-1930
NPI assigned
Sep 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34706 CA Primary

Addresses

Primary practice location

685 E Remington Dr Ste a
Sunnyvale, CA 94087-1982

Mailing address

10495 Beardon Dr
Cupertino, CA 95014-1919
Phone (408) 964-8597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915002835 CA Practitioner - Chiropractic 2961887633 Practice locations: Sunnyvale, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

685 E Remington Dr
Suite a
Sunnyvale, CA 94087-1982
Phone (408) 673-1930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34706CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chuang Affiliated Chiropractic Corp Chiropractor CurrentSince Dec 22, 2024 Accepting new patients
County of Santa Clara PastSince Sep 1, 2020 Accepting new patients

Locations

685 E Remington Dr
Ste A
Sunnyvale, CA 94087
Phone (408) 735-8188

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1497360994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10495 BEARDON DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141919",
            "telephone_number": "408-964-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E REMINGTON DR STE A",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871982",
            "telephone_number": "408-673-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.