Individual provider Active NPI

Alex Kaliakin, D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1285663906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14105 Issued in CA
Practice address
2317 Broadway
Santa Monica, CA 90404-2915
Phone
(310) 829-2225
Fax
(310) 828-6926
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC14105 CA Primary

Addresses

Primary practice location

2317 Broadway
Santa Monica, CA 90404-2915

Mailing address

23480 W Moon Shadows Dr
Malibu, CA 90265-3034
Phone (310) 829-2225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14105CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Rehabilitation Medical Group, Inc. Current Accepting new patients
Spinal Rehabilitation Medical Group Inc Chiropractor CurrentSince Dec 1, 1995 Accepting new patients

Locations

2232 Santa Monica Blvd
Ste 101
Santa Monica, CA 90404
Phone (310) 393-2225

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285663906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23480 W MOON SHADOWS DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653034",
            "telephone_number": "310-829-2225",
            "fax_number": "310-828-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BROADWAY",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042915",
            "telephone_number": "310-829-2225",
            "fax_number": "310-828-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIAKIN",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.