Green Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31172 Issued in CA

Legal business name

GREEN CHIROPRACTIC CLINIC

Practice address

100A S El Camino Real
San Mateo, CA 94401-3810

Phone

(415) 595-5936

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jacob George Sahourieh, D.C.

Title

Owner/Operator

Phone

(415) 595-5936

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1629218946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GARFIELD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322625",
            "telephone_number": "415-595-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013810",
            "telephone_number": "415-595-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "SAHOURIEH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "415-595-5936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samara Graunke, DO
• Michelle Larson Graville, LMFT
• Richard Frank Gravina, MD
• Donna Rose Gray, M.S. CCC-SLP
• Kimberly M Gray
• Elizabeth Sokolik Green, PSY.D.
• Peter Green
• Tiahna Brielle Green
• Melissa Emmalea Greenfield
• Estelle Gregory, MD

• Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.