Active NPI
Alexander Lee Encarnacion-Strand
- Chiropractor
- Brentwood, CA
National Provider Identifier
1205692118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36872
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC36872 | CA | MD | Chiropractor |
| 36872 | CA | MD | General 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.