Individual provider Active NPI

Alexis Sanchez, DC

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1033878434
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC35096 Issued in CA
Practice address
5150 N 6TH St Ste 100
Fresno, CA 93710-7505
Phone
(559) 222-5362
Fax
(559) 222-5028
NPI assigned
Dec 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC35096 CA Primary

Addresses

Primary practice location

5150 N 6TH St Ste 100
Fresno, CA 93710-7505

Mailing address

5150 N 6TH St Ste 100
Fresno, CA 93710-7505
Phone (559) 222-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706001424 CA Practitioner - Chiropractic 2668831835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Medical Wellness Center IncGroup PAC ID 2264787621, 2 clinicians

Practice addresses (Care Compare)

5150 N 6TH St
Suite 100
Fresno, CA 93710-7505
Phone (559) 222-5362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC35096CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Medical Wellness Center Inc Chiropractor CurrentSince May 17, 2023 Accepting new patients

Locations

5150 N 6th St
Ste 100
Fresno, CA 93710
Phone (559) 222-5362

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1033878434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 6TH ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107505",
            "telephone_number": "559-222-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 6TH ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107505",
            "telephone_number": "559-222-5362",
            "fax_number": "559-222-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC35096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.