Active NPI
Justin Lew
- Chiropractor
- San Mateo, CA
National Provider Identifier
1689284747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34838
- Practice address
- 3600 S El Camino Real Ste C
San Mateo, CA 94403-4579 - Phone
- (650) 200-0150
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34838 | CA | Primary |
Addresses
Primary practice location
3600 S El Camino Real Ste C
San Mateo, CA 94403-4579
Mailing address
3600 S El Camino Real Ste C
San Mateo, CA 94403-4579
Phone (650) 200-0150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211202002461 | CA | Practitioner - Chiropractic | 7315337565 | Practice locations: San Mateo, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34838 | CA | MD | Orthopedic Physical Therapist |
Interoperability endpoints
- justin.lew.1@19661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1689284747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S EL CAMINO REAL STE C",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034579",
"telephone_number": "650-200-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S EL CAMINO REAL STE C",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034579",
"telephone_number": "650-200-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEW",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "34838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.