Elite Chiropractic and Sports Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE CHIROPRACTIC AND SPORTS CLINIC

Practice address

1373 S Bascom Ave
San Jose, CA 95128-4507

Phone

(408) 288-8120

Fax

(408) 288-8122

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Max Petersen, DC

Title

Owner and Chiropractor

Phone

(408) 288-8120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902939705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284507",
            "telephone_number": "408-288-8120",
            "fax_number": "408-288-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284507",
            "telephone_number": "408-288-8120",
            "fax_number": "408-288-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC AND SPORTS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER AND CHIROPRACTOR",
        "authorized_official_telephone_number": "408-288-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Eliason, MD
• Angelica Causor Eliazar, MSW
• Felicia May Eliazar
• Isabel Eliscu
• Elite Care Transport Services
• Elite Core Claims Managment LLC
• Elizabeth a Wells DC (Brain & Body Health)
• Elizabeth Baker Physical Therapy PC
• Amy Elizaga, PA-C
• Priscilla Elizalde

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.