Healthcare Provider Details

I. General information

NPI: 1205476587
Provider Name (Legal Business Name): BARAJAS CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 CENTRAL AVE
ALAMEDA CA
94501-3406
US

IV. Provider business mailing address

928 CENTRAL AVE
ALAMEDA CA
94501-3406
US

V. Phone/Fax

Practice location:
  • Phone: 510-418-9207
  • Fax:
Mailing address:
  • Phone: 510-418-9207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JOSE M. BARAJAS
Title or Position: OWNER
Credential: DC
Phone: 209-918-4579