Active NPI
Thomas Gallardo, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1831233782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25056
- Practice address
- 135 N Jackson Ave Ste 201
San Jose, CA 95116-1917 - Phone
- (408) 258-3200
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25056 | CA | Primary |
Addresses
Primary practice location
135 N Jackson Ave Ste 201
San Jose, CA 95116-1917
Mailing address
135 N Jackson Ave Ste 201
San Jose, CA 95116-1917
Phone (408) 258-3200
Other practice location 1
125 N Jackson Ave
Suite 107
San Jose, CA 95116-1903
Phone (408) 258-3200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25056 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC25056 | CA | MD | Chiropractor |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1831233782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N JACKSON AVE STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161917",
"telephone_number": "408-258-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N JACKSON AVE STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161917",
"telephone_number": "408-258-3200"
}
],
"practiceLocations": [
{
"address_1": "125 N Jackson Ave",
"address_2": "Suite 107",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951161903",
"country_code": "US",
"telephone_number": "408-258-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLARDO",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2020-12-07",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25056",
"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 Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.