Individual provider Active NPI

Sean Robert Salazar, DC

  • Sports Physician Chiropractor
  • Saratoga, CA
National Provider Identifier
1982062915
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
33459 Issued in CA
Practice address
14375 Saratoga Ave Ste 101
Saratoga, CA 95070-5978
Phone
(408) 634-2096
NPI assigned
Feb 4, 2016
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 33459 CA Primary

Addresses

Primary practice location

14375 Saratoga Ave Ste 101
Saratoga, CA 95070-5978

Mailing address

20990 Valley Green Dr Apt 704
Cupertino, CA 95014-1846
Phone (970) 391-0068

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

LicenseStateTypeSpecialty
33459CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Salazar Sports Physician CurrentSince Nov 17, 2019 Accepting new patients

Locations

4675 Stevens Creek Blvd
Ste 215
Santa Clara, CA 95051
Phone (408) 248-7960

14375 Saratoga Ave
Ste 101
Saratoga, CA 95070
Phone (408) 634-2096

Interoperability endpoints

  • Direct secure messaging: sean.salazar.1@19661.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1982062915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20990 VALLEY GREEN DR APT 704",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141846",
            "telephone_number": "970-391-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE STE 101",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705978",
            "telephone_number": "408-634-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "SEAN",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "33459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.