ELITE CHIROPRACTIC AND SPORTS CLINIC
NPI 1902939705
Chiropractor in San Jose, CA

Active since March 13, 2007
1373 S BASCOM AVE, SAN JOSE, CA 95128(408) 288-8120(408) 288-8122 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Chiropractic And Sports Clinic NPPES

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

ELITE CHIROPRACTIC AND SPORTS CLINIC (NPI 1902939705) is a healthcare organization registered as a chiropractor in San Jose, California and active in the NPI registry since March 2007. The organization lists Max Petersen, Owner And Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1902939705
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELITE CHIROPRACTIC AND SPORTS CLINIC
Location Address1373 S BASCOM AVESan Jose, CA 95128-4507
Mailing Address1373 S Bascom AveSan Jose, CA 95128-4507 · (408) 288-8120 · Fax (408) 288-8122
Fax(408) 288-8122
Organization SubpartNo
Authorized OfficialMax PetersenOwner And Chiropractor · (408) 288-8120
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1902939705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1373 S BASCOM AVE, San Jose, CA 95128

Group Practice 1

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

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
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor (Sports Physician)
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128

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 Elite Chiropractic And Sports Clinic's NPI number?

The NPI number for Elite Chiropractic And Sports Clinic is 1902939705. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Elite Chiropractic And Sports Clinic located?

Elite Chiropractic And Sports Clinic is located at 1373 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 288-8120.

What is Elite Chiropractic And Sports Clinic'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 Elite Chiropractic And Sports Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.