Individual provider Active NPI

Matthew J Breske, D.C.

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1750541702
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31446 Issued in CA
Practice address
15055 Los Gatos Blvd Ste 310
Los Gatos, CA 95032-2056
Phone
(408) 358-7900
Fax
(408) 358-4020
NPI assigned
Jun 12, 2008
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31446 CA Primary

Addresses

Primary practice location

15055 Los Gatos Blvd Ste 310
Los Gatos, CA 95032-2056

Mailing address

15055 Los Gatos Blvd Ste 310
Los Gatos, CA 95032-2056
Phone (408) 358-7900

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

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1750541702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15055 LOS GATOS BLVD STE 310",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322056",
            "telephone_number": "408-358-7900",
            "fax_number": "408-358-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15055 LOS GATOS BLVD STE 310",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322056",
            "telephone_number": "408-358-7900",
            "fax_number": "408-358-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESKE",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.