Individual provider Active NPI

Sue H Bedi, DC

  • Chiropractor
  • Santa Clara, CA
National Provider Identifier
1700110699
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36614 Issued in CA
Practice address
4675 Stevens Creek Blvd Ste 121
Santa Clara, CA 95051-6763
Phone
(571) 528-6888
NPI assigned
Sep 24, 2009
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36614 CA Primary

Addresses

Primary practice location

4675 Stevens Creek Blvd Ste 121
Santa Clara, CA 95051-6763

Mailing address

2205 Bridgepointe Pkwy Apt 217
Foster City, CA 94404-5016
Phone (571) 528-6888

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
36614CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Center, PC Chiropractor CurrentSince Sep 17, 2012 Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients
Cardea Physical Medicine, PLLC PastSince May 4, 2011 Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients

Locations

1800 Town Center Dr
Reston, VA 20190
Phone (703) 435-8000

1800 Town Center Dr
#315B
Reston, VA 20190
Phone (571) 926-8918

1800 Town Center Dr
Ste 315
Reston, VA 20190
Phone (571) 926-8918

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1700110699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BRIDGEPOINTE PKWY APT 217",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944045016",
            "telephone_number": "571-528-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 STEVENS CREEK BLVD STE 121",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516763",
            "telephone_number": "571-528-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDI",
        "first_name": "SUE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.