Organization Active NPI

Walia Chiropractic Inc

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1861099129
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALIA CHIROPRACTIC INC
Practice address
2577 Samaritan Dr Ste 840
San Jose, CA 95124-4115
Phone
(352) 399-5085
Fax
(866) 402-3481
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Ms. Tina Shallonis
Title
Billing Manager
Phone
(352) 399-5085

Specialties & licenses 1

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

Addresses

Primary practice location

2577 Samaritan Dr Ste 840
San Jose, CA 95124-4115

Mailing address

2307 Harewood Dr
Livermore, CA 94551-1777
Phone (909) 728-1508

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tcb.t.shallonis@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1861099129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 HAREWOOD DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511777",
            "telephone_number": "909-728-1508",
            "fax_number": "866-402-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAMARITAN DR STE 840",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244115",
            "telephone_number": "352-399-5085",
            "fax_number": "866-402-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALIA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "SHALLONIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "352-399-5085",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tcb.t.shallonis@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2307 Harewood Dr",
            "city": "Livermore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945511777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 8, 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.