Provider Demographics
NPI:1437146735
Name:JOSEPH, CATHY ANN (DC)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:ANN
Other - Last Name:KIDD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1231 FRANKLIN MALL # 241
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4806
Mailing Address - Country:US
Mailing Address - Phone:408-248-8392
Mailing Address - Fax:
Practice Address - Street 1:1265 EL CAMINO REAL
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050
Practice Address - Country:US
Practice Address - Phone:408-248-8392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-02
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA 370111NX0800X
CADC12438111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0124381Medicare PIN
CAT04763Medicare UPIN