MEDICARE: DR. JOSE E BUENFIL VARGAS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC37212	CA

General Provider Information

NPI Number	:	1043016306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE E BUENFIL VARGAS DC

Provider Business Mailing Address
First Line	:	1432 W SAN CARLOS ST APT 432
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-5405
Country	:	US
Telephone Number	:	408-707-2973
Fax Number	:

Provider Business Practice Location Address
First Line	:	5570 SANCHEZ DR STE 100
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95123-1119
Country	:	US
Telephone Number	:	408-262-7111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2025
Last Update Date	:	02/19/2025

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