DEEPAK RATTU (NPI# 1629688619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629688619 |
| Entity Type | Individual |
| Full Name | DEEPAK RATTU |
| Credential | DC |
| Practice Address |
1754 Technology Dr Ste 120g San Jose CA 95110-1308 |
| Practice Telephone | 4089059897 |
| Mailing Telephone | 4089059897 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 34836 | CA | Chiropractic Providers |
| Street Address |
1754 TECHNOLOGY DR STE 120G |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95110-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876064 | Clarissa Sherrill Chan | Physician Assistant | 685 Coleman Ave Ste 20, San Jose, CA 95110 | 2017-05-01 |
| 1366895666 | Lifemoves - Autumn Satellite Clinic | Case Management | 263 N Autumn St, San Jose, CA 95110 | 2016-07-21 |
| 1487067278 | Catholic Charities of Scc | Community/Behavioral Health | 921 S 1st St, San Jose, CA 95110 | 2014-06-09 |
| 1871855916 | Act for Mental Health, Inc | Psychologist | 441 Park Avenue, San Jose, CA 95110 | 2012-06-14 |
| 1730451238 | Jackson Huang | Nurse Practitioner | 685 Coleman Ave, San Jose, CA 95110 | 2012-01-31 |
| 1104000405 | Kaitlyn Brownell | Case Manager/Care Coordinator | 150-a S. Autumn St., San Jose, CA 95110 | 2007-12-21 |
| 1760685218 | Sharon Iwen Wang | Psychologist | 2033 Gateway Pl Fl 5, San Jose, CA 95110 | 2007-06-11 |
| 1528192036 | Wanda Broadie Alexander | Social Worker | 441 Park Ave, San Jose, CA 95110 | 2007-03-15 |
| 1750442208 | Mario Ricardo Ponce | Counselor | 70 West Hedding Street, County of Santa Clara, San Jose, CA 95110 | 2006-12-12 |
| 1467426882 | Lannie S. Zarate-reyes D.d.s., Inc. | Dentist | 579-10 Coleman Avenue, San Jose, CA 95110 | 2006-02-14 |
| Find all providers in zip 95110 | ||||
| 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 |
| 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 |
| 1720555790 | Jacklyn Renee Muxen | Chiropractor | 1314 Lincoln Ave Ste 2e, San Jose, CA 95125-3012 | 2018-10-29 |
| 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.