Active NPI
Lars Evert Lundstrom, DC
- Chiropractor
- Ventura, CA
National Provider Identifier
1114908910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19200
- Practice address
- 2686 Johnson Dr
Suite 104
Ventura, CA 93003-7207 - Phone
- (805) 654-1432
- Fax
- (805) 654-1442
- NPI assigned
- Nov 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19200 | CA | Primary |
Addresses
Primary practice location
2686 Johnson Dr
Suite 104
Ventura, CA 93003-7207
Mailing address
9058 Havasu St
Ventura, CA 93004-3037
Phone (805) 654-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0192000 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000628 | CA | Practitioner - Chiropractic | 9335309699 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2686 Johnson Dr
Suite 104
Ventura, CA 93003-7243
Phone (805) 654-1432
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": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114908910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9058 HAVASU ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930043037",
"telephone_number": "805-654-1432",
"fax_number": "805-654-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2686 JOHNSON DR",
"address_2": "SUITE 104",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037207",
"telephone_number": "805-654-1432",
"fax_number": "805-654-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDSTROM",
"first_name": "LARS",
"middle_name": "EVERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0192000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.