Westside Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25468 Issued in CA

Legal business name

WESTSIDE CHIROPRACTIC

Practice address

190 W 25TH Ave Ste 4
San Mateo, CA 94403-2272

Phone

(650) 349-2222

Fax

(650) 341-3415

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Michael Ludovico, D.C.

Title

Chiropractor

Phone

(650) 349-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1972759488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222",
            "fax_number": "650-341-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W 25TH AVE STE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032272",
            "telephone_number": "650-349-2222",
            "fax_number": "650-341-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "LUDOVICO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "650-349-2222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Mateo, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.