Individual provider Active NPI

Tristin Virginia Wesenberg, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1346286135
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25286 Issued in CA
Practice address
5850 Thille Street
204
Ventura, CA 93003-9003
Phone
(805) 650-9106
Fax
(805) 650-9864
NPI assigned
Jun 21, 2006
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25286 CA Primary

Addresses

Primary practice location

5850 Thille Street
204
Ventura, CA 93003-9003

Mailing address

5850 Thille St
204
Ventura, CA 93003-5413
Phone (805) 650-9106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000695 CA Practitioner - Chiropractic 0345420204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15520 Rockfield Blvd
Irvine, CA 92618-6705

15550 Rockfield Blvd
Suite A200
Irvine, CA 92618-6705

5850 Thille St
Suite 100a
Ventura, CA 93003-5413
Phone (805) 650-9106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25286CAMDChiropractor
25286CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wesenberg Chiropractic Corporation Chiropractor CurrentSince Nov 7, 2010 Accepting new patients

Locations

15520 Rockfield Blvd
Ste A200
Irvine, CA 92618

5850 Thille St
Ste 100A
Ventura, CA 93003
Phone (805) 650-9106

5850 Thille St
Ste 204
Ventura, CA 93003
Phone (805) 650-9106

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1346286135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 THILLE ST",
            "address_2": "204",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035413",
            "telephone_number": "805-650-9106",
            "fax_number": "805-650-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 THILLE STREET",
            "address_2": "204",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039003",
            "telephone_number": "805-650-9106",
            "fax_number": "805-650-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESENBERG",
        "first_name": "TRISTIN",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.