Provider Demographics
NPI:1821127598
Name:SILVA, JESSE PEREIRA JR (DC)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:PEREIRA
Last Name:SILVA
Suffix:JR
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 1:8200 STOCKDALE HWY
Mailing Address - Street 2:M10 284
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1091
Mailing Address - Country:US
Mailing Address - Phone:661-322-7500
Mailing Address - Fax:661-322-7510
Practice Address - Street 1:3201 F ST
Practice Address - Street 2:SUITE 250
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1839
Practice Address - Country:US
Practice Address - Phone:661-322-7500
Practice Address - Fax:661-322-7510
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA27173OtherLICENSED CHIROPRACTOR