Individual provider Active NPI

Alexine Cordovano, D.C.

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1043759129
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33789 Issued in CA
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

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.