Individual provider Active NPI

Mario Andres Chavez, DC

  • Chiropractor
  • Indio, CA
National Provider Identifier
1215499181
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34496 Issued in CA
Practice address
81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone
(760) 647-7676
Fax
(760) 347-0909
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tobias Moeller-Bertram MD Corporation (56 clinicians)

Practice addresses (Care Compare)

36101 Bob Hope Dr
Suite a
Rancho Mirage, CA 92270-2001
Phone (760) 321-1315

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210607002322 CA Practitioner - Chiropractic 7810397254 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
34496CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Moeller-Bertram Medical Corporation Current
since May 1, 2025
Accepting new patients
Tobias Moeller-Bertram MD Corporation Current
since Apr 17, 2023
Accepting new patients
Tobias Moeller-Bertram MD Corporation Current
since Apr 17, 2023
Accepting new patients

Locations

81800 Doctor Carreon Blvd
Ste B
Indio, CA 92201
Phone (760) 347-7676

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

1695 S San Jacinto Ave
Ste A
San Jacinto, CA 92583
Phone (951) 330-3100

1695 S San Jacinto Ave
Ste Adf
San Jacinto, CA 92583
Phone (951) 330-3100

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34496 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594

Mailing address

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone (760) 647-7676

Other practice location 1

1695 S San Jacinto Ave Ste A-D&f
San Jacinto, CA 92583-5103
Phone (951) 330-3100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2026.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1215499181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81812 DOCTOR CARREON BLVD STE D",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015594",
            "telephone_number": "760-647-7676",
            "fax_number": "760-347-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81812 DOCTOR CARREON BLVD STE D",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015594",
            "telephone_number": "760-647-7676",
            "fax_number": "760-347-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 S San Jacinto Ave Ste A-D&f",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925835103",
            "country_code": "US",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARIO",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.