Individual provider Active NPI

Mary Jo Giagiari-Clarke, DC

  • Chiropractor
  • Los Altos, CA
National Provider Identifier
1598836389
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC018416 Issued in CA
Practice address
644 Fremont Ave
Los Altos, CA 94024-4812
Phone
(650) 948-2238
Fax
(650) 948-2363
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC018416 CA Primary

Addresses

Primary practice location

644 Fremont Ave
Los Altos, CA 94024-4812

Mailing address

644 Fremont Ave
Los Altos, CA 94024-4812
Phone (650) 948-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC018416CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kenneth Felch Chiropractic Professional Corporation Chiropractor PastSince Jun 2, 2006 Accepting new patients
Los Altos Mountain View Chiropractic Clinic Chiropractor Past Accepting new patients

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1598836389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-2238",
            "fax_number": "650-948-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-2238",
            "fax_number": "650-948-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAGIARI-CLARKE",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC018416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.