Healthcare Provider Details

I. General information

NPI: 1952239832
Provider Name (Legal Business Name): JARED MARANDINO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39654 MISSION BLVD
FREMONT CA
94539-3000
US

IV. Provider business mailing address

39654 MISSION BLVD
FREMONT CA
94539-3000
US

V. Phone/Fax

Practice location:
  • Phone: 510-694-2229
  • Fax:
Mailing address:
  • Phone: 510-694-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: