Individual provider Active NPI

Christopher Alvares, CMT

  • Massage Therapist
  • Los Banos, CA
National Provider Identifier
1124627542
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
83021 Issued in CA
Practice address
340 I St
Los Banos, CA 93635-4143
Phone
(209) 210-2116
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 83021 CA Primary

Addresses

Primary practice location

340 I St
Los Banos, CA 93635-4143

Mailing address

19944 Geer Ave
Hilmar, CA 95324-9401
Phone (209) 896-6531

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

LicenseStateTypeSpecialty
83021CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Body Wellness Massage Therapist CurrentSince Oct 25, 2020 Accepting new patients

Locations

340 I St
Los Banos, CA 93635
Phone (209) 210-2116

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1124627542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19944 GEER AVE",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953249401",
            "telephone_number": "209-896-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354143",
            "telephone_number": "209-210-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARES",
        "first_name": "CHRISTOPHER",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "83021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.