Provider Demographics
NPI:1487533139
Name:DIAS, ANDREW JASON (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JASON
Last Name:DIAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:DREW
Other - Middle Name:JASON
Other - Last Name:DIAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:3591 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1034
Mailing Address - Country:US
Mailing Address - Phone:650-784-2481
Mailing Address - Fax:
Practice Address - Street 1:444 WESTLAKE CTR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1432
Practice Address - Country:US
Practice Address - Phone:415-347-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor