DR. JOHN MATTHEW BYSTROM (NPI# 1891850525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891850525 |
| Entity Type | Individual |
| Full Name | DR. JOHN MATTHEW BYSTROM |
| Credential | DC |
| Practice Address |
1631 4th St Escalon CA 95320-2007 |
| Practice Telephone | 2098383434 |
| Practice Fax Number | 2098387753 |
| Mailing Telephone | 2098383434 |
| Mailing Fax Number | 2098387753 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC30236 | CA | Chiropractic Providers |
| Street Address |
1631 4TH ST |
| City | ESCALON |
| State | CA |
| Zip Code | 95320-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700261963 | Guadalupe Pimentel | Chiropractor | 1631 4th St, Escalon, CA 95320-2007 | 2015-07-29 |
| 1821417866 | Escalon Physical Medicine, Inc | General Practice | 1631 4th St, Escalon, CA 95320-2007 | 2014-04-07 |
| 1770690430 | William S. Clark | Counselor | 1631 4th St, Escalon, CA 95320-2007 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742369 | Markee Cuevas | Health Educator | 19951 East Highway 120, Escalon, CA 95320 | 2015-10-08 |
| 1144699208 | Cathryn Rae Duncan | Pharmacist | 1900 Mchenry Ave., #202, Escalon, CA 95320 | 2015-09-18 |
| 1699166181 | Jessica Lee | Student in an Organized Health Care Education/Training Program | 1438 Ribier Dr., Escalon, CA 95320 | 2015-02-05 |
| 1023381647 | Kandie Rago | Pharmacist | 537 Chenin Blanc Ave, Escalon, CA 95320 | 2012-02-13 |
| 1699973768 | Rachelle Vander Dussen | Registered Nurse | 19467 Sexton Rd, Escalon, CA 95320 | 2007-07-10 |
| 1831252618 | Gary Michael Verigin | Dentist | 1415 Oklahoma Ave, Escalon, CA 95320 | 2006-12-19 |
| 1467550434 | John Phillip Tacheff | Dentist | 1302 Mitchell Ave, Escalon, CA 95320 | 2006-09-21 |
| 1013011055 | Soma Krishnamoorthi | Internal Medicine | 850 W California Street, Escalon, CA 95320-1506 | 2006-09-11 |
| 1285785154 | Krishnamoorthi M. D. Inc., A Professional Medical Corporation | Clinic/Center | 850 California St, Escalon, CA 95320-1506 | 2007-01-16 |
| 1235262817 | Michelle Coble | Social Worker | 1812 Sanchez Way, Escalon, CA 95320-1535 | 2007-03-13 |
| Find all providers in zip 95320 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700261963 | Guadalupe Pimentel | Chiropractor | 1631 4th St, Escalon, CA 95320-2007 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073615 | Tsu Yao Lam | Chiropractor | 9337 Steele St, Rosemead, CA 91770-1915 | 2020-11-05 |
| 1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1679173157 | Mvmt Matters, A Daniel J Saenz Chiropractic Corporation | Chiropractor | 7700 Folsom Auburn Rd Ste 135, Folsom, CA 95630-6637 | 2020-10-26 |
| 1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1205435179 | Linet Sarkisyan | Chiropractor | 530 E Santa Anita Ave Apt 102, Burbank, CA 91501-2912 | 2020-10-22 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
| 1558969238 | Fernando A Titus | Chiropractor | 233 6th St, Manhattan Beach, CA 90266-5735 | 2020-10-14 |
| 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.