Provider Demographics
NPI:1841387461
Name:GRUBINSKAS, JAMES MICHAEL (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:GRUBINSKAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13980 BLOSSOM HILL RD
Mailing Address - Street 2:STE B
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5121
Mailing Address - Country:US
Mailing Address - Phone:408-445-8400
Mailing Address - Fax:408-445-0875
Practice Address - Street 1:2450 SCOTT BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-2504
Practice Address - Country:US
Practice Address - Phone:408-986-8599
Practice Address - Fax:408-986-9868
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2017-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CADC25571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC02557710Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER