JACK VONG
NPI 1417374554
Chiropractor in San Jose, CA

Active since March 26, 2014
360 KIELY BLVD., SUITE #215, SAN JOSE, CA 95129(408) 260-8292 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Vong NPPES

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

JACK VONG (NPI 1417374554) is an individual chiropractor in San Jose, California, licensed in California (28757) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1417374554
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACK VONG
Location Address360 KIELY BLVD., SUITE #215San Jose, CA 95129
Mailing Address360 Kiely Blvd., Suite #215San Jose, CA 95129 · (408) 260-8292
Sole ProprietorYes
Enumeration DateMarch 26, 2014
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1417374554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · 28757
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.
360 KIELY BLVD., San Jose, CA 95129

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 Vong's NPI number?

The NPI number for Jack Vong is 1417374554. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Jack Vong located?

Jack Vong practices at 360 Kiely Blvd. Suite #215, San Jose, CA 95129. The listed phone number is (408) 260-8292.

What is Jack Vong'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 Vong was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.