BURT CHIROPRACTIC PROFESSIONAL CORPORATION (NPI# 1225166036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225166036 |
| Entity Type | Organization |
| Organization Name | BURT CHIROPRACTIC PROFESSIONAL CORPORATION |
| Practice Address |
15200 Hesperian Blvd Ste 104 San Leandro CA 94578-3955 |
| Practice Telephone | 5104812225 |
| Practice Fax Number | 8665018083 |
| Mailing Telephone | 5104812225 |
| Mailing Fax Number | 8665018083 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDUARD BURT (CHIROPRACTOR) |
| Authorized Official Telephone | 5104812225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-28211 | CA | Chiropractic Providers |
| Street Address |
15200 HESPERIAN BLVD STE 104 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235267295 | Eduard Burt | Chiropractor | 15200 Hesperian Blvd Ste 104, San Leandro, CA 94578-3955 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| 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 |
|---|---|---|---|---|
| 1902278872 | Don J. Grundmann | Chiropractor | 425 E. Merle Ct., San Leandro, CA 94577 | 2015-10-30 |
| 1659637999 | David Irvin Dufour | Chiropractor | 585 Dowling Blvd, San Leandro, CA 94577-1905 | 2012-04-10 |
| 1407185515 | Sandi Diane Jones | Chiropractor | 875 Estudillo Ave, San Leandro, CA 94577-5111 | 2009-12-18 |
| 1326241399 | Michael H. Mortensen | Chiropractor | 505 Bancroft Ave, San Leandro, CA 94577-2023 | 2007-06-07 |
| 1487866018 | Christopher Daniel Macchesney | Chiropractor | 144 Joaquin Ave, San Leandro, CA 94577-4708 | 2007-05-04 |
| 1043438039 | Monisha Mona Chanan | Chiropractor | 15200 Hesperian Blvd, Suite 104, San Leandro, CA 94578 | 2007-04-23 |
| 1881718302 | Steve Camenson | Chiropractor | 14399 E 14th St, San Leandro, CA 94578-2711 | 2007-03-19 |
| 1194864421 | Advanced Multi Specialty Medical Group | Chiropractor | 1460-1470 150th Ave, San Leandro, CA 94578-1821 | 2007-02-05 |
| 1659444081 | Nghia John Phan | Chiropractor | 433 Estudillo Ave Ste 100, San Leandro, CA 94577-4915 | 2006-11-15 |
| 1831277953 | Maria Manibog | Chiropractor | 369 Juana Ave, San Leandro, CA 94577-4810 | 2006-11-02 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on BURT CHIROPRACTIC PROFESSIONAL CORPORATION.
| 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.