Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Scott David Nissenbaum, DC

Individual provider Chiropractor · NPI 1851694541

Dr. Scott David Nissenbaum, DC is a Chiropractor in San Carlos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1100 Laurel St Ste D
San Carlos, CA 94070-5000
Phone: (415) 302-9007
Fax: (650) 666-6747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC-31093 (CA)

Record details

NPI number1851694541
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 17, 2010
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address1100 Laurel St Ste D, San Carlos, CA 94070-5000

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