Individual provider Active NPI

Christian Velasco Caragao, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1205530524
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36628 Issued in CA
Practice address
3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458
Phone
(562) 982-4208
Fax
(562) 286-8344
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 36628 CA Primary

Addresses

Primary practice location

3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458

Mailing address

3960 N Studebaker Rd Ste 102
Long Beach, CA 90808-2458
Phone (562) 982-4208

Other practice location 1

7454 Edinger Ave
Huntington Beach, CA 92647-3510
Phone (562) 982-4208 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215000752 WA Practitioner - Chiropractic 0143714451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Chirorpactic PLLCGroup PAC ID 9537174123, 6 clinicians

Practice addresses (Care Compare)

9812 205TH Ave E
Suite C
Bonney Lake, WA 98391-8382
Phone (253) 863-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36628CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Chirorpactic PLLC Chiropractor CurrentSince Oct 4, 2025 Accepting new patients
Wimmer and Redman Chiropractic Inc Chiropractor CurrentSince Apr 6, 2023 Accepting new patients
Apex Physical Medicine Multi-Specialty CurrentSince Apr 6, 2023 Accepting new patients

Locations

3960 N Studebaker Rd
Ste 102
Long Beach, CA 90808
Phone (562) 982-4208

9812 205th Ave E
Ste C
Bonney Lake, WA 98391
Phone (253) 863-6378

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1205530524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 N STUDEBAKER RD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082458",
            "telephone_number": "562-982-4208",
            "fax_number": "562-286-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 N STUDEBAKER RD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082458",
            "telephone_number": "562-982-4208",
            "fax_number": "562-286-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7454 Edinger Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473510",
            "country_code": "US",
            "telephone_number": "562-982-4208 x2",
            "fax_number": "562-286-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAGAO",
        "first_name": "CHRISTIAN",
        "middle_name": "VELASCO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.