Susan Marietta St Claire, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC16163 Issued in CA

Practice address

614 Dorothy Avenue
San Jose, CA 95125-5729

Phone

(408) 279-8609

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Susan Marietta Zimblewoman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508085564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DOROTHY AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255729",
            "telephone_number": "408-279-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DOROTHY AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255729",
            "telephone_number": "408-279-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIRE",
        "first_name": "SUSAN",
        "middle_name": "MARIETTA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ZIMBLEWOMAN",
            "middle_name": "MARIETTA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Poorti Srivastava
• Rupa Srivastava, MD
• Anjali Srivatsa
• Aditya Srivatsan
• SSC San Jose Operating Company LP
• Patricia Norene St Clare, MFT
• Diane St Denis, RN
• Kenneth Edward St George, MA
• Rebecca Giordano St George, LMFT CA. 28030
• St James Health Center Pharmacy

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.