JACK VONG


Address: 4633 Old Ironsides Dr, Suite 101, Santa Clara, CA 95054-1807
Phone: 4088558608

JACK VONG (NPI# 1417374554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417374554
Entity Type Individual
Full Name JACK VONG
Practice Address 4633 Old Ironsides Dr
Suite 101
Santa Clara
CA 95054-1807
Practice Telephone 4088558608
Mailing Telephone 4088558608
Enumeration Date 2014-03-26
Last Update Date 2014-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 28757 CA Chiropractic Providers

Office Location

Street Address 4633 OLD IRONSIDES DR
SUITE 101
City SANTA CLARA
State CA
Zip Code 95054-1807

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629621552 Pushpa Bhandari Behavior Technician 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 2019-07-19
1275001679 Janet Johnston-tyler Counselor 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 2018-11-05
1184106643 Sunshine Acupuncture & Healthcare Acupuncturist 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 2018-08-31
1538654496 Molly Delaney Speech-Language Pathologist 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 2018-06-24
1255826111 Jordan Moore Speech-Language Pathologist 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 2018-06-24
1073008934 Tanya Guerrero Speech-Language Pathologist 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 2018-06-24
1366931305 Jacqueline Genna Speech-Language Pathologist 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 2018-05-04
1386131886 Angel Raynetta Stevens Behavior Technician 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 2018-04-19
1528567468 Ledia Mati Chiropractor 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 2018-02-06
1982133310 Hien Tue Nguyen Pharmacist 3970 Rivermark Plaza, Santa Clara, CA 95054 2017-06-08
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770191694 Elevate Functional Health, LLC Chiropractor 667 Sweetspring Dr, Santa Clara, UT 84765-5469 2020-07-16
1669939310 Melissa Shizuka Tashiro Chiropractor 160 Saratoga Ave Ste 140, Santa Clara, CA 95051-7334 2019-02-28
1528567468 Ledia Mati Chiropractor 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 2018-02-06
1124545496 Lori Kristine Cruz Chiropractor 4675 Stevens Creek Blvd Ste 215, Santa Clara, CA 95051-6764 2017-08-27
1144684457 Jordan Michael Jiunta Chiropractor 3505 The Alameda, Santa Clara, CA 95050-4334 2016-04-12
1932500345 Tae Hyun Lee Chiropractor 3216 El Camino Real # 9, Santa Clara, CA 95051-2803 2014-09-05
1245598366 Young Hee Ro Chiropractor 100 Saratoga Ave, Santa Clara, CA 95051-7337 2012-04-26
1124390067 Karo Isajan Chiropractor 5145 Stevens Creek Blvd Ste 130, Santa Clara, CA 95051 2012-02-08
1164711891 Connie Yeonhee Chung Chiropractor 3148 El Camino Real Ste 107, Santa Clara, CA 95051-2930 2011-04-04
1760792295 Antonio Dominic Rodriguez Chiropractor 2545 Armstrong Place, Santa Clara, CA 95050-5511 2010-10-18
Find all providers in SANTA CLARA

Competitor

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City SANTA CLARA
Zip Code 95054

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Dataset Information

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.

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