Provider Demographics
NPI:1346987856
Name:SILVA, DOMINGO ANTONIO (DC)
Entity Type:Individual
Prefix:
First Name:DOMINGO
Middle Name:ANTONIO
Last Name:SILVA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 W REMINGTON DR APT 2B
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2122
Mailing Address - Country:US
Mailing Address - Phone:408-813-0680
Mailing Address - Fax:
Practice Address - Street 1:20730 VALLEY GREEN DR
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1704
Practice Address - Country:US
Practice Address - Phone:408-783-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36137111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor