Active NPI
Danilo Alves Dos Santos Velozo, DC
- Chiropractor
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35066
- Practice address
- 14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284 - Phone
- (818) 901-1505
- NPI assigned
- Dec 17, 2020
- Last updated
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6122 | OR | |
| Chiropractor | 111N00000X | 35066 | CA | Primary |
| Pediatric Chiropractor | 111NP0017X | 35066 | CA |
Addresses
Primary practice location
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
Mailing address
14624 Sherman Way Ste 300
Van Nuys, CA 91405-2288
Phone (818) 901-1505
Other practice location 1
11750 SW Barnes Rd Ste 240
Portland, OR 97225-5911
Phone (503) 389-6962
Other practice location 2
1624 E Main St
Ventura, CA 93001-3308
Phone (805) 641-2004
Other practice location 3
1359 NE 35th Ave
Portland, OR 97232-1941
Phone (503) 389-5545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6122 | Other | OR | OREGON STATE CHIROPRACTIC LICENSE |
| 35066 | Other | CA | CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6122 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wellness Center LLC | Chiropractor | Current | Accepting new patients |
| Spinatomymed PC | Chiropractor | Current | Accepting new patients |
| Advanced Wellness Center | Past | Accepting new patients |
Locations
14624 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 901-1505
11750 SW Barnes Rd
Ste 240
Portland, OR 97225
Phone (503) 376-6881
1359 NE 35th Ave
Portland, OR 97232
Phone (503) 232-7460
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Advanced Wellness Center PDX
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1275921660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1043806664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14624 SHERMAN WAY STE 300",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052288",
"telephone_number": "818-901-1505",
"fax_number": "818-901-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY STE 250",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052284",
"telephone_number": "818-901-1505"
}
],
"practiceLocations": [
{
"address_1": "11750 SW Barnes Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972255911",
"country_code": "US",
"telephone_number": "503-389-6962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1624 E Main St",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930013308",
"country_code": "US",
"telephone_number": "805-641-2004",
"fax_number": "805-641-2001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1359 NE 35th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972321941",
"country_code": "US",
"telephone_number": "503-389-5545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELOZO",
"first_name": "DANILO",
"middle_name": "ALVES DOS SANTOS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2023-09-06",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6122",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "35066",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CA",
"license": "35066",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE CHIROPRACTIC LICENSE",
"identifier": "6122",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "35066",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.