Organization Active NPI

Fulanovich and Seid Chiropractic

Doing business as Palo Alto Chiropractic Offices

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1760685911
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11581 Issued in CA
Legal business name
FULANOVICH AND SEID CHIROPRACTIC
Doing business as
Palo Alto Chiropractic Offices
Practice address
1691 El Camino Real
Suite 100
Palo Alto, CA 94306
Phone
(650) 328-2100
Fax
(650) 328-2104
NPI assigned
Jun 6, 2007
Last updated
Jul 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
FULANOVICH AND SEID CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Dr. Gloria Jane Seid, D.C.
Title
Chief Financial Officer
Phone
(650) 328-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11581 CA Primary

Addresses

Primary practice location

1691 El Camino Real
Suite 100
Palo Alto, CA 94306

Mailing address

1691 El Camino Real
Suite 100
Palo Alto, CA 94306-1009
Phone (650) 328-2100

Other names 1

  • Palo Alto Chiropractic Offices Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130821000804 CA Part B Supplier - Clinic/Group Practice 2567605629 Receives reassigned benefits from 1 practitioner
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory
Part of
Fulanovich and Seid Chiropractic

Locations

1691 El Camino Real
Ste 100
Palo Alto, CA 94306
Phone (650) 328-2100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1760685911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061009",
            "telephone_number": "650-328-2100",
            "fax_number": "650-328-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-328-2100",
            "fax_number": "650-328-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULANOVICH AND SEID CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULANOVICH AND SEID CHIROPRACTIC",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "SEID",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "650-328-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Alto Chiropractic Offices",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Alto Chiropractic Offices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.

Verify at the official NPI Registry.