TED H. OMURA (NPI# 1205837986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205837986 |
| Entity Type | Individual |
| Full Name | TED H. OMURA |
| Credential | DC |
| Practice Address |
1609 Meridian Ave San Jose CA 95125-5532 |
| Practice Telephone | 4084488818 |
| Mailing Telephone | 4084488818 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
DC025988 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPT. OF LABOR | 357446700 | 01 |
| CA | AETNA | 5708678 | 01 |
| CA | BLUE SHIELD | DC0259880 | 01 |
| Street Address |
1609 MERIDIAN AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739923 | Kiana Nicole Choroski | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2020-08-05 |
| 1083245138 | Anh Tran | Contractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2020-01-28 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1194117176 | Jeffrey Payne | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2015-02-26 |
| 1114233491 | Tomoya Harada | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2010-08-25 |
| 1902133051 | Dana Youssef | Acupuncturist | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2009-11-11 |
| 1518003979 | Justin P Brink | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2007-01-30 |
| 1871657098 | Jaime Chaves | Acupuncturist | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2006-12-21 |
| 1790701845 | Bradley Robert Schmidt | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| 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. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917094 | Chris Baker | Chiropractor | 4982 Cherry Ave, San Jose, CA 95118-2748 | 2012-02-13 |
| 1932260379 | Helen N. Shaw | Chiropractor | 855 Saratoga Ave, San Jose, CA 95129-2331 | 2006-12-12 |
| 1891863205 | Jeffery Allen Wood Sr. | Chiropractor | 4400 The Woods Dr, #1523, San Jose, CA 95136-3844 | 2006-12-01 |
| 1891115226 | Premiere Corporate Solutions | Chiropractor | 4982 Cherry Ave, San Jose, CA 95118-2748 | 2014-04-24 |
| 1710244538 | Russell Maramag | Chiropractor | 2910 Stevens Creek Blvd Ste 209, San Jose, CA 95128-2015 | 2012-04-18 |
| 1851560452 | David John Pawlowski | Chiropractor | 14438 Union Ave, San Jose, CA 95124-2815 | 2008-02-27 |
| 1407032253 | Harry H. Ho Chiropractic Inc Dba Elite Chiropractic and Sports Clinic | Chiropractor | 1373 S Bascom Ave, San Jose, CA 95128-4507 | 2008-01-10 |
| 1336224278 | Reza Daroodi | Chiropractor | 1746 Hamilton Ave, San Jose, CA 95125-5424 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.