Individual provider Active NPI

Thomas Gallardo, D.C.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1831233782
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25056 Issued in CA
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

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25056CAMDAddiction (Substance Use Disorder) Counselor
DC25056CAMDChiropractor

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.

Verify at the official NPI Registry.