NPIMap

Organization Active NPI

Ly Chiropractic, Inc

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1609206366
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29804 Issued in CA
Legal business name
LY CHIROPRACTIC, INC
Practice address
4950 Hamilton Ave Ste 109
San Jose, CA 95130-1748
Phone
(408) 256-3865
Fax
(408) 550-1974
NPI assigned
Nov 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Authorized official

Name
Dr. Tam Ly, DC
Title
Chiropractor
Phone
(510) 303-0807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC29804 CA Primary

Addresses

Primary practice location

4950 Hamilton Ave Ste 109
San Jose, CA 95130-1748

Mailing address

4950 Hamilton Ave Ste 109
San Jose, CA 95130-1748
Phone (408) 256-3865

Other names 1

  • VALLEY WELLNESS HEALTH GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1066 Saratoga Ave
Ste 120
San Jose, CA 95129
Phone (408) 244-6555

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549065600000",
    "number": "1609206366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 HAMILTON AVE STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301748",
            "telephone_number": "408-256-3865",
            "fax_number": "408-550-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 HAMILTON AVE STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951301748",
            "telephone_number": "408-256-3865",
            "fax_number": "408-550-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LY CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-16",
        "last_updated": "2019-02-02",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "510-303-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY WELLNESS HEALTH GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY WELLNESS HEALTH GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2019; 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.