Organization Active NPI

Youngerman & Abusaidi Chiropractic Clinic, Inc.

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1568539070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
YOUNGERMAN & ABUSAIDI CHIROPRACTIC CLINIC, INC.
Doing business as
San Mateo Chiropractic Clinic Redwood City Chiropractic
Practice address
16 41St Ave
San Mateo, CA 94403-5106
Phone
(650) 345-7010
Fax
(650) 345-7470
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elizabeth Anne Youngerman, D.C.NPI 1538236021
Title
V.P.
Phone
(650) 345-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

16 41St Ave
San Mateo, CA 94403-5106

Mailing address

16 41St Ave
San Mateo, CA 94403-5106
Phone (650) 345-7010

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ51491ZOtherCABLUE SHIELD

Other names 1

  • San Mateo Chiropractic Clinic Redwood City Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

16 W 41st Ave
San Mateo, CA 94403
Phone (650) 345-7010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568539070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 41ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944035106",
            "telephone_number": "650-345-7010",
            "fax_number": "650-345-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 41ST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944035106",
            "telephone_number": "650-345-7010",
            "fax_number": "650-345-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGERMAN & ABUSAIDI CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNGERMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "650-345-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ51491Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Chiropractic Clinic Redwood City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.