Healthcare Provider Details

I. General information

NPI: 1639518822
Provider Name (Legal Business Name): RYAN M SALDIVAR D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RYAN M SALDIVAR DC

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 TELEGRAPH AVE OFC 2
BERKELEY CA
94705-1984
US

IV. Provider business mailing address

3101 TELEGRAPH AVE OFC 2
BERKELEY CA
94705-1984
US

V. Phone/Fax

Practice location:
  • Phone: 415-852-0365
  • Fax:
Mailing address:
  • Phone: 415-852-0365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36539
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: