DR. JIM OTIS (NPI# 1235351453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235351453 |
| Entity Type | Individual |
| Full Name | DR. JIM OTIS |
| Credential | DC |
| Practice Address |
431 30th St Oakland CA 94609-3304 |
| Practice Telephone | 5108326848 |
| Mailing Telephone | 5108326848 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
14460 | CA | Chiropractic Providers |
| Street Address |
431 30TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270354 | Adams' Sports Chiropractic Prof Corp | Chiropractor | 431 30th St, Suite 2, Oakland, CA 94609-3304 | 2006-10-18 |
| 1033655337 | Christine Mammini | Counselor | 431 30th St, Suite 250, Oakland, CA 94609-3307 | 2017-01-10 |
| 1669836755 | Daniels Lee | Massage Therapist | 431 30th St, Suite 210-c, Oakland, CA 94609-3307 | 2016-04-05 |
| 1346626231 | Mary Valentina Mornard | Marriage & Family Therapist | 431 30th St, Suite 2, Oakland, CA 94609-3307 | 2015-08-03 |
| 1386902021 | John R Edwards | Social Worker | 431 30th St, Suite 2, Oakland, CA 94609-3307 | 2012-05-01 |
| 1306137724 | Craig Pollack | Acupuncturist | 431 30th St, Oakland, CA 94609-3307 | 2011-04-20 |
| 1528362688 | Oakland Acupuncture & Integrative Medicine Clinic | Chiropractor | 431 30th St, Suite 4, Oakland, CA 94609-3307 | 2011-01-04 |
| 1215237334 | Geetali Chitre | Psychologist | 431 30th St, Oakland, CA 94609-3307 | 2010-10-22 |
| 1023247178 | Cynthia Fullwood-fleck | Marriage & Family Therapist | 431 30th St, Suite 130b, Oakland, CA 94609-3307 | 2009-07-10 |
| 1205071321 | Aya Kasai | Marriage & Family Therapist | 431 30th St, Ste 4b, Oakland, CA 94609-3307 | 2008-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184916611 | Dobbins Chiropractic, Inc. | Chiropractor | 4287 Piedmont Ave, Suite 112, Oakland, CA 94611-4730 | 2011-05-02 |
| 1659466977 | Virginia St John Roe | Chiropractor | 6333 Telegraph Ave, Suite #203, Oakland, CA 94609-1359 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346715174 | Kaci Madden | Chiropractor | 5665 Oberlin Dr Ste 102, San Diego, CA 92121-1739 | 2018-10-08 |
| 1336681865 | Inside Out Health | Chiropractor | 501 Soquel Ave Ste G, Santa Cruz, CA 95062-2322 | 2016-11-15 |
| 1447606934 | Integrated Systems Medical Group | Chiropractor | 9800 Mira Lee Way, San Diego, CA 92126-4713 | 2016-05-13 |
| 1144674292 | Heath Chiropractic & Naturopathic Corporation | Chiropractor | 2381 Mariner Square Dr, 170, Alameda, CA 94501-6463 | 2016-04-14 |
| 1821450800 | Natasha Fallahi | Chiropractor | 2730 Telegraph Ave, Berkeley, CA 94705-1131 | 2016-03-28 |
| 1639554454 | Daniel Alfred Nash II | Chiropractor | 1160 Pitt School Rd, Suite F, Dixon, CA 95620-2100 | 2015-07-22 |
| 1851772420 | Andres Garcia | Chiropractor | 994 Sea Cliff Dr, Carlsbad, CA 92011-1141 | 2015-06-09 |
| 1487071858 | Naomi Ariana Downey | Chiropractor | 2260 Thistle Patch Rd, Newcastle, CA 95658-9759 | 2014-03-24 |
| 1265861272 | Adam P Harcourt | Chiropractor | 804 Anacapa St, Santa Barbara, CA 93101-2212 | 2013-11-11 |
| 1255689766 | Rose Marie Pack | Chiropractor | 77564 Country Club Dr Ste 218, Palm Desert, CA 92211-6249 | 2012-08-15 |
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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.