Active NPI
Alexine Cordovano, D.C.
- Chiropractor
- Lancaster, CA
National Provider Identifier
1043759129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33789
- Practice address
- 1629 W Avenue J
Lancaster, CA 93534-2830 - Phone
- (661) 942-3346
- NPI assigned
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33789 | CA | Primary |
Addresses
Primary practice location
1629 W Avenue J
Lancaster, CA 93534-2830
Mailing address
1629 W Avenue J
Lancaster, CA 93534-2830
Phone (661) 942-3346
Other practice location 1
42335 50th St W
#105
Lancaster, CA 93536-3528
Phone (661) 400-1533
Other practice location 2
20406 Brian Way Ste 4D
Tehachapi, CA 93561-6757
Phone (661) 822-1442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180129000988 | CA | Practitioner - Chiropractic | 5991065633 | Practice locations: Lancaster, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
41872 Montallegro St
Lancaster, CA 93536-2986
Phone (661) 822-1442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1043759129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342830",
"telephone_number": "661-942-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342830",
"telephone_number": "661-942-3346"
}
],
"practiceLocations": [
{
"address_1": "42335 50th St W",
"address_2": "#105",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935363528",
"country_code": "US",
"telephone_number": "661-400-1533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20406 Brian Way Ste 4D",
"address_purpose": "LOCATION",
"city": "Tehachapi",
"state": "CA",
"postal_code": "935616757",
"country_code": "US",
"telephone_number": "661-822-1442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDOVANO",
"first_name": "ALEXINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-22",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.