Crystal Talingdan Itliong, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36474 Issued in CA

Practice address

3700 Thomas Rd Ste 207
Santa Clara, CA 95054-2063

Phone

(408) 248-8700

Fax

(408) 247-3180

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Mati Custom Chiropractic CorporationGroup PAC ID 5294121562, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mati Custom Chiropractic Corporation

  dba Santa Clara Custom Chiropractic

  • Chiropractor
  • Santa Clara, CA
  • NPI 1831754407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1568170181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 THOMAS RD STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542063",
            "telephone_number": "408-248-8700",
            "fax_number": "408-247-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 THOMAS RD STE 207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542063",
            "telephone_number": "408-248-8700",
            "fax_number": "408-247-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 Park Blvd Ste B205",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061956",
            "country_code": "US",
            "telephone_number": "408-248-8700",
            "fax_number": "408-247-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITLIONG",
        "first_name": "CRYSTAL",
        "middle_name": "TALINGDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karo Isajan, DC
• Monica Nady Ishak
• Gabriela J Islas Mendez
• Abdulla Mahmood Ismail
• Chad Viriya Ith, PAC
• Allison Ivancovich
• Radha D. Ivaturi, MD
• Sameer Arun Iyengar, DDS
• Shivangi K Iyengar
• J Liu Chiropractic Corporation (Element Chiropractic Wellness)

• Chiropractor in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.