The Valiant Jacobs Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25246 Issued in CA

Legal business name

THE VALIANT JACOBS CHIROPRACTIC CORP

Practice address

3 Poppy LN
San Carlos, CA 94070-1533

Phone

(650) 218-8648

Fax

(650) 594-4981

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ritch Valiant Jacobs, D.C.

Title

President

Phone

(650) 218-8648

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1922316868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 K STREET. SUITE 120C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-448-1770",
            "fax_number": "916-448-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POPPY LN",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940701533",
            "telephone_number": "650-218-8648",
            "fax_number": "650-594-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VALIANT JACOBS CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RITCH",
        "authorized_official_middle_name": "VALIANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-218-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.