Individual provider Active NPI

Vanessa Nordin, D.C.

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1841609773
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33022 Issued in CA
Practice address
15951 Los Gatos Blvd
Suite 3
Los Gatos, CA 95032-3428
Phone
(408) 358-5086
Fax
(408) 358-5099
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33022 CA Primary

Addresses

Primary practice location

15951 Los Gatos Blvd
Suite 3
Los Gatos, CA 95032-3428

Mailing address

15951 Los Gatos Blvd
Suite 3
Los Gatos, CA 95032-3428
Phone (408) 358-5086

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
33022CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Motion Chiropractic CurrentSince Oct 7, 2015 Accepting new patients

Locations

15951 Los Gatos Blvd
Ste 3
Los Gatos, CA 95032
Phone (408) 358-5086

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1841609773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD",
            "address_2": "SUITE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-358-5086",
            "fax_number": "408-358-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15951 LOS GATOS BLVD",
            "address_2": "SUITE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323428",
            "telephone_number": "408-358-5086",
            "fax_number": "408-358-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33022",
            "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 Aug 5, 2014; 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.