Russell Maramag, DC – Sports Physician Chiropractor

Key facts

NPI: 1710244538
Entity type: Individual (NPI type 1)
Primary specialty: Sports Physician Chiropractor 111NS0005X
License: 32264 (CA)
Practice address: 2910 Stevens Creek Blvd Ste 209
San Jose, CA 95128-2015
Phone: (408) 261-0772
Fax: (408) 261-0766
NPI assigned: Apr 18, 2012
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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

1 World DME LLC Chiropractor · San Jose, CA · NPI 1386940344

NPD (past)
World of Health Chiropractor · San Jose, CA · NPI 1730400334

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
32264	CA	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
World of Health		Past	Accepting new patients
1 World DME LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Sports Physician Chiropractor	111NS0005X	32264	CA	Yes

Addresses

Primary practice location

2910 Stevens Creek Blvd Ste 209
San Jose, CA 95128-2015

Mailing address

2910 Stevens Creek Blvd Ste 209
San Jose, CA 95128-2015
Phone (408) 261-0772

Other providers in San Jose, CA

All providers in San Jose, CA · Sports Physician Chiropractor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.