Provider Demographics
NPI:1568548626
Name:CARTWRIGHT, JAMES MATTHEW (DC, DA CNB)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MATTHEW
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:DC, DA CNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2203
Mailing Address - Country:US
Mailing Address - Phone:831-460-9200
Mailing Address - Fax:831-460-9290
Practice Address - Street 1:618 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2203
Practice Address - Country:US
Practice Address - Phone:831-460-9200
Practice Address - Fax:831-460-9290
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0205430111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0205430Medicare ID - Type UnspecifiedMEDICARE NUMBER
CAU55863Medicare UPIN