DR. JACK MARTIN BOURLA D.C.
NPI 1013055755
Chiropractor in Redwood City, CA

Active since February 02, 2007
499 SEAPORT CT, SUITE 101, REDWOOD CITY, CA 94063(650) 365-1473(650) 365-1474 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jack Martin Bourla D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK MARTIN BOURLA D.C. (NPI 1013055755) is an individual chiropractor in Redwood City, California, licensed in California (DC25312) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013055755
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK MARTIN BOURLACredential: D.C.
Location Address499 SEAPORT CT, SUITE 101Redwood City, CA 94063-2783
Mailing Address499 Seaport Ct, Suite 101Redwood City, CA 94063-2783 · (650) 365-1473 · Fax (650) 365-1474
Fax(650) 365-1474
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013055755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC25312
Definition

A 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.

499 SEAPORT CT, Redwood City, CA 94063

Other Identifiers 1

Medicare UPINU95781CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
499 SEAPORT CT, 101
REDWOOD CITY, CA 94063
Acupuncturist
499 SEAPORT CT, SUITE 101
REDWOOD CITY, CA 94063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Bourla's NPI number?

The NPI number for Jack Bourla is 1013055755. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Jack Bourla located?

Jack Bourla practices at 499 Seaport Ct Suite 101, Redwood City, CA 94063. The listed phone number is (650) 365-1473.

What is Jack Bourla's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jack Bourla was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.