Individual provider Active NPI

Nicholas Steven Berglund, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1740744085
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34145 Issued in CA
Practice address
2575 N 1St St
San Jose, CA 95131-1003
Phone
(408) 883-2088
NPI assigned
Jan 30, 2019
Last updated
May 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 34145 CA Primary

Addresses

Primary practice location

2575 N 1St St
San Jose, CA 95131-1003

Mailing address

476 Coleen St
Livermore, CA 94550-4017
Phone (408) 309-3769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207001647 CA Practitioner - Chiropractic 5193107290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1422 Concannon Blvd
H3
Livermore, CA 94550-6006
Phone (408) 309-3769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34145CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Livermore a Berglund Chiropractic Corporation Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Balanced Associates a Berglund Chiropractic Professional Corporation Chiropractor Current Accepting new patients
Thrive 20/20, a Kauffman Chiropractic, Inc. Chiropractor Past Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

1422 Concannon Blvd
Livermore, CA 94550
Phone (408) 309-3769

1422 Concannon Blvd
#H3
Livermore, CA 94550
Phone (408) 309-3769

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1740744085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 COLEEN ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504017",
            "telephone_number": "408-309-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311003",
            "telephone_number": "408-883-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "NICHOLAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.