Active NPI
Alejandro Bolivar Platon, D.C., C.C.S.P
- Sports Physician Chiropractor
- Los Angeles, CA
National Provider Identifier
1275852543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 21096
- Practice address
- 2975 Wilshire Blvd
Suite 201
Los Angeles, CA 90010-1107 - Phone
- (213) 384-8903
- Fax
- (213) 384-7338
- NPI assigned
- May 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 21096 | CA | |
| Sports Physician Chiropractor | 111NS0005X | 21096 | CA | Primary |
Addresses
Primary practice location
2975 Wilshire Blvd
Suite 201
Los Angeles, CA 90010-1107
Mailing address
2975 Wilshire Blvd
Suite 201
Los Angeles, CA 90010-1107
Phone (213) 384-8903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1275852543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101107",
"telephone_number": "213-384-8903",
"fax_number": "213-384-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 WILSHIRE BLVD",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101107",
"telephone_number": "213-384-8903",
"fax_number": "213-384-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATON",
"first_name": "ALEJANDRO",
"middle_name": "BOLIVAR",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "21096",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "21096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.