Active NPI
Jerald Chavez, DC
- Chiropractor
- Daly City, CA
National Provider Identifier
1891379673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35009
- Practice address
- 444 Westlake Ctr
Daly City, CA 94015-1432 - Phone
- (415) 915-1027
- NPI assigned
- May 8, 2021
- 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 | 35009 | CA | Primary |
Addresses
Primary practice location
444 Westlake Ctr
Daly City, CA 94015-1432
Mailing address
4502 Via la Paz
Union City, CA 94587-3858
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35009 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1891379673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 VIA LA PAZ",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 WESTLAKE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151432",
"telephone_number": "415-915-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JERALD",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-08",
"last_updated": "2021-05-08",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.