Mario Andres Chavez, DC

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

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 CorporationGroup PAC ID 1456586064, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
  • NPI 1922440684
  Medicare reassignment Care Compare group NPD
• Phillips-White Chiropractic Corporation

  • Chiropractor
  • Redlands, CA
  • NPI 1336265362
  Medicare reassignment
• Moeller-Bertram Medical Corporation

  dba Lifekind Health

  • Pain Medicine Physician
  • Rancho Mirage, CA
  • NPI 1699586388
  NPD
• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Durable Medical Equipment & Medical Supplies
  • Indio, CA
  • NPI 1861389199
  NPD

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

{
    "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": []
}

• Jambur Eriah Chandrashekar, M.D.
• Narendra Shashibushan Chandrashekar, M.D.
• Charles Kim MD Inc
• Maria Guadalupe Chavez-Brown
• Jazmin Chavez
• Maria Chavira, RI
• Lisa Chea, O.D.
• Carmen Edna Cheung, PHARMD
• Shanthi Chezian, MD
• Carter Evans Childs, RAS-C0509020847

• Chiropractor in Indio, CA
• Providers in Indio, CA by specialty
• Chiropractor in California

• 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.