EBADAT CHIROPRACTIC INC. NPI 1003006404

Chiropractor in San Jose, CA

About EBADAT CHIROPRACTIC INC.

Ebadat Chiropractic Inc. is a provider in San Jose, CA. The NPI number assigned to this provider is 1003006404. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Ebadat Chiropractic Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003006404 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameEBADAT CHIROPRACTIC INC.
Provider Location Address20445 PROSPECT RD STE 1 SAN JOSE, CA 95129 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 26890 SAN JOSE, CA 95159 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-31-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-31-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

EBADAT CHIROPRACTIC INC.
20445 PROSPECT RD STE 1
SAN JOSE, CA
ZIP 95129
Phone: (408) 446-8444
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Mailing Address

EBADAT CHIROPRACTIC INC.
PO BOX 26890
SAN JOSE, CA
ZIP 95159
Phone: (408) 839-7814

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.23643
License StateCA
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Authorized Official

Authorized Official NameDR. ASGHAR JAY EBADAT D.C. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCHIROPRACTOR
Authorized Official Phone(408) 446-8444

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZZZ23836ZMEDICARE PIN (08)CA

Map Location


EBADAT CHIROPRACTIC INC. address is 20445 PROSPECT RD STE 1 SAN JOSE, CA 95129

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306000740 RINA VALIA LCEH
Individual
Homeopath20445 PROSPECT RD STE 1
SAN JOSE, CA 95129
(408) 835-7420