Individual provider Active NPI

Alexander Lee Encarnacion-Strand

  • Chiropractor
  • Brentwood, CA
National Provider Identifier
1205692118
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36872 Issued in CA
Practice address
2380 Fairview Ave Ste a
Brentwood, CA 94513-5585
Phone
(925) 516-9970
NPI assigned
Feb 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36872 CA Primary

Addresses

Primary practice location

2380 Fairview Ave Ste a
Brentwood, CA 94513-5585

Mailing address

641 Woodbury PL
Oakley, CA 94561-2531
Phone (925) 812-0217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618003834 CA Practitioner - Chiropractic 6709329782 Practice locations: Brentwood, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2380 Fairview Ave
Suite a
Brentwood, CA 94513-5585
Phone (925) 577-6486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36872CAMDChiropractor
36872CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1205692118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 WOODBURY PL",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612531",
            "telephone_number": "925-812-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 FAIRVIEW AVE STE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135585",
            "telephone_number": "925-516-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION-STRAND",
        "first_name": "ALEXANDER",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.