TED H. OMURA DC
NPI 1205837986
Chiropractor - Sports Physician in San Jose, CA

Active since August 03, 2005Accepts Medicare Assignment
1609 MERIDIAN AVE, SAN JOSE, CA 95125(408) 448-8818 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ted H. Omura Dc NPPES

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

TED H. OMURA DC (NPI 1205837986) is an individual sports physician in San Jose, California, licensed in California (DC025988) and active in the NPI registry since August 2005. He is a graduate of Palmer College Chiropractic - West Sunnyvale (1997).

NPPES Registry Identity

NPI1205837986
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameTED H. OMURACredential: DC
Location Address1609 MERIDIAN AVESan Jose, CA 95125-5532
Mailing Address1609 Meridian AveSan Jose, CA 95125-5532 · (408) 448-8818
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1997
Enumeration DateAugust 3, 2005
Last NPPES UpdateSeptember 9, 2010
NPI 1205837986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in CA · DC025988
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1609 MERIDIAN AVE, San Jose, CA 95125

Other Identifiers 5

Medicare ID-Type UnspecifiedDC0259880CA · Medicare
Other5708678CA · Aetna
Medicare UPINU74045CA
Other357446700CA · Dept. Of Labor
OtherDC0259880CA · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ted H. Omura Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052505351
PECOS Enrollment IDI20101101000529

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
283 services32 patients

Other Providers at the Same Location NPPES 6

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

Chiropractor
1609 MERIDIAN AVE
SAN JOSE, CA 95125
Chiropractor
1609 MERIDIAN AVE
SAN JOSE, CA 95125
Chiropractor
1609 MERIDIAN AVE
SAN JOSE, CA 95125
Chiropractor
1609 MERIDIAN AVE
SAN JOSE, CA 95125
Acupuncturist
1609 MERIDIAN AVE
SAN JOSE, CA 95125
Acupuncturist
1609 MERIDIAN AVE
SAN JOSE, CA 95125

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 Ted Omura's NPI number?

The NPI number for Ted Omura is 1205837986. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Ted Omura located?

Ted Omura practices at 1609 Meridian Ave, San Jose, CA 95125. The listed phone number is (408) 448-8818.

What is Ted Omura's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Ted Omura enrolled in Medicare?

Yes. Ted Omura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ted Omura accept?

Health plans from Providence Health Plan list Ted Omura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ted Omura was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.