LUBA MEDVEDEV DC
NPI 1205901535
Chiropractor in San Mateo, CA

Active since November 21, 2006
1 BAYWOOD AVE STE 4, SAN MATEO, CA 94402(650) 343-8512(408) 725-0172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Luba Medvedev Dc NPPES

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

LUBA MEDVEDEV DC (NPI 1205901535) is an individual chiropractor in San Mateo, California, licensed in California (DC26445) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205901535
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLUBA MEDVEDEVCredential: DC
Location Address1 BAYWOOD AVE STE 4San Mateo, CA 94402-1537
Mailing Address4927 Englewood DrSan Jose, CA 95129-4232 · (408) 725-2691 · Fax (408) 725-0172
Fax(408) 725-0172
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205901535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC26445
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.
1 BAYWOOD AVE STE 4, San Mateo, CA 94402

Other Identifiers 3

Medicare UPINU85815CA
Medicare ID-Type UnspecifiedDC0264450CA
MedicaidDC0264451CA

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 Luba Medvedev's NPI number?

The NPI number for Luba Medvedev is 1205901535. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Luba Medvedev located?

Luba Medvedev practices at 1 Baywood Ave Ste 4, San Mateo, CA 94402. The listed phone number is (650) 343-8512.

What is Luba Medvedev'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 Luba Medvedev was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.