Individual provider Active NPI

Tore Gustafsson, D.C.

  • Sports Physician Chiropractor
  • Los Gatos, CA
National Provider Identifier
1619169687
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
26870 Issued in CA
Practice address
15545 Los Gatos Blvd Ste B
Los Gatos, CA 95032-2567
Phone
(408) 358-9800
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 26870 CA Primary

Addresses

Primary practice location

15545 Los Gatos Blvd Ste B
Los Gatos, CA 95032-2567

Mailing address

15545 Los Gatos Blvd Ste B
Los Gatos, CA 95032-2567
Phone (408) 358-9800

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1619169687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15545 LOS GATOS BLVD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322567",
            "telephone_number": "408-358-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 LOS GATOS BLVD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322567",
            "telephone_number": "408-358-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSSON",
        "first_name": "TORE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "26870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.