Organization Active NPI

Phillip Lavine Chiropractic Inc.

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1316757966
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHILLIP LAVINE CHIROPRACTIC INC.
Practice address
1716 Erringer Rd Ste 100
Simi Valley, CA 93065-6524
Phone
(805) 581-8053
Fax
(805) 581-8052
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Dr. Phillip Lavine, DCNPI 1205870375
Title
Owner/Ceo/President
Phone
(805) 581-8053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1716 Erringer Rd Ste 100
Simi Valley, CA 93065-6524

Mailing address

1716 Erringer Rd Ste 100
Simi Valley, CA 93065-6524
Phone (805) 581-8053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250806003915 CA Part B Supplier - Clinic/Group Practice 1456869742 Receives reassigned benefits from 1 practitioner
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

1716 Erringer Rd
Ste 100
Simi Valley, CA 93065
Phone (805) 581-8053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1316757966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656524",
            "telephone_number": "805-581-8053",
            "fax_number": "805-581-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656524",
            "telephone_number": "805-581-8053",
            "fax_number": "805-581-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP LAVINE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LAVINE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-581-8053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.