DR. JIM A. LARSEN (NPI# 1518943489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518943489 |
| Entity Type | Individual |
| Full Name | DR. JIM A. LARSEN |
| Other Name | DR. JIM ALLAN LARSEN |
| Credential | D.C. |
| Practice Address |
709 Petaluma Blvd N Suite B Petaluma CA 94952-2106 |
| Practice Telephone | 7077788845 |
| Practice Fax Number | 7077786960 |
| Mailing Telephone | 7077788845 |
| Mailing Fax Number | 7077786960 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13342 | CA | Chiropractic Providers |
| Street Address |
709 PETALUMA BLVD N SUITE B |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544305 | Jennifer Hammer | Chiropractor | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | 2016-08-25 |
| 1770864076 | Israel Perry | Chiropractor | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | 2011-08-31 |
| 1730221508 | Ronald E Hammer, Dc, A Professional Chiropractic Corporation | Chiropractor | 709 Petaluma Blvd N, Petaluma, CA 94952-2106 | 2007-02-12 |
| 1972517449 | Ronald Eugene Hammer | Chiropractor | 709 Petaluma Blvd N, Suite 1, Petaluma, CA 94952-2106 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1003272022 | Battaglino Family Chiropractic | Chiropractor | 620 Petaluma Blvd N, Ste. B, Petaluma, CA 94952-2869 | 2016-01-06 |
| 1568873040 | Wendy Ann Staples Hicks | Chiropractor | 1445 Technology Ln, Ste A3, Petaluma, CA 94954-7613 | 2014-05-18 |
| 1396187985 | Anna F Curto | Chiropractor | 225 N Mcdowell Blvd, Petaluma, CA 94954-2306 | 2013-07-23 |
| 1790914125 | Amy Dilena | Chiropractor | 129 Keller St, Suite C, Petaluma, CA 94952-2314 | 2009-07-07 |
| 1205072782 | Beck Chiropractic Professional Corporation | Chiropractor | 6 Petaluma Blvd N Ste B8, Petaluma, CA 94952-3051 | 2009-01-05 |
| 1124264858 | David Dean Donaldson | Chiropractor | 709 Petaluma Blvd N # B, Petaluma, CA 94952-2106 | 2008-12-30 |
| 1457545089 | Donna Pontrello | Chiropractor | 1112 B St, Petaluma, CA 94952-4054 | 2007-08-27 |
| 1952502437 | Michelle Denise Arietta | Chiropractor | 1197 E Washington St, Petaluma, CA 94952-3383 | 2007-05-30 |
| 1801097746 | Restad Chiropractic, Inc. | Chiropractor | 1301 Redwood Way Ste 150, Petaluma, CA 94954-1136 | 2007-05-29 |
| 1609083179 | Steven Gerald Jones | Chiropractor | 406 Petaluma Blvd S, Petaluma, CA 94952-4247 | 2007-05-16 |
| Find all providers in PETALUMA | ||||
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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.