Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elite Chiropractic and Sports Clinic

Organization Chiropractor · NPI 1902939705

Elite Chiropractic and Sports Clinic provides Chiropractor services in San Jose, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1373 S Bascom Ave
San Jose, CA 95128-4507
Phone: (408) 288-8120
Fax: (408) 288-8122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1902939705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Petersen — Owner And Chiropractor · (408) 288-8120
NPI enumeratedMarch 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1373 S Bascom Ave, San Jose, CA 95128-4507

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