J CARLOS PORTILLO (NPI# 1982121828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982121828 |
| Entity Type | Individual |
| Full Name | J CARLOS PORTILLO |
| Credential | D.C. |
| Practice Address |
1836 Hamilton Ave San Jose CA 95125-5631 |
| Practice Telephone | (408) 459-8340 |
| Mailing Telephone | 4084598340 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 18923 | CA | Chiropractic Providers |
| Street Address |
1836 HAMILTON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972607331 | Tamara Lyn Diaz | Chiropractor | 1836 Hamilton Ave, San Jose, CA 95125-5631 | 2006-09-07 |
| 1275838427 | Hs Legacy | Chiropractor | 1836 Hamilton Ave, San Jose, CA 95125-5631 | 2011-01-19 |
| 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 | 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 |
|---|---|---|---|---|
| 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 | ||||
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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.