DR. SCOTT WADDELL


Address: 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026
Phone: 4088719355

DR. SCOTT WADDELL (NPI# 1912045840) 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) 1912045840
Entity Type Individual
Full Name DR. SCOTT WADDELL
Credential D.C.
Practice Address 4855 Atherton Ave Ste 204
San Jose
CA 95130-1026
Practice Telephone 4088719355
Practice Fax Number 4088718511
Mailing Telephone 4088719355
Mailing Fax Number 4088718511
Enumeration Date 2007-02-02
Last Update Date 2008-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor DC22884 CA Chiropractic Providers

Office Location

Street Address 4855 ATHERTON AVE STE 204
City SAN JOSE
State CA
Zip Code 95130-1026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699245795 Jim Patton Massage Therapist 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 2018-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316599087 Ajay Pala Occupational Therapist 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 2019-07-12
1366516205 Irene Shuk Wong Nurse Practitioner 4855 Atherton Ave, San Jose, CA 95130 2006-11-20
1417489691 Laura Silvester Marriage & Family Therapist 4950 Hamilton Ave Ste 102, San Jose, CA 95130 2017-03-28
1184806325 Michael Hwa Internal Medicine 751 S. Bascom Ave., San Jose, CA 95130 2007-11-29
1114438074 Gregory Paul Roumbanis Marriage & Family Therapist 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 2017-10-18
1013136423 Julie Dutton Nurse Practitioner 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 2007-04-24
1508423567 Kee Jin Kwon Nurse Practitioner 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 2019-05-24
1487119525 Sarah Gayle Sadumiano Galinato Nurse Practitioner 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 2019-02-03
1790255990 Aya Pierre Nurse Practitioner 4855 Atherton Ave, San Jose, CA 95130-1026 2018-11-29
1184131039 Pattyjo Marsette Marriage & Family Therapist 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 2018-01-01
Find all providers in zip 95130

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
1417556218 Mandy Wong Chiropractor 3058 Marston Way, San Jose, CA 95148-3118 2020-10-22
1629688619 Deepak Rattu Chiropractor 1754 Technology Dr Ste 120g, San Jose, CA 95110-1308 2020-08-04
1902423247 Ernest Luong Chiropractor 360 Kiely Blvd Ste 215, San Jose, CA 95129-1300 2020-07-02
1518597681 Kevin Tri Lam Chiropractor 508 Senter Ct, San Jose, CA 95111-3634 2020-01-17
1295370823 Elise Leung Chiropractor 4323 Moorpark Ave Ste A, San Jose, CA 95129-2075 2019-11-06
1871155291 Jee Won Suh Chiropractor 1645 Willow St Ste 100, San Jose, CA 95125-5112 2019-07-05
1174183610 Kathy Huynh Chiropractor 1261 Lincoln Ave Ste 113, San Jose, CA 95125-3030 2019-06-17
1700441045 Calvin Patrick Nell Chiropractor 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 2019-05-02
1720542103 Nanci R Price Inc Chiropractor 100 O'connor Dr., Ste 27, San Jose, CA 95128 2019-01-30
1386118560 Yang Hsiang Chiropractor 1733 Chesterton Cir, San Jose, CA 95133-1534 2019-01-22
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95130

Improve Information

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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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