Individual provider Active NPI

Yesenia Ostolaza-Machuca, DC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1346830726
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13339 Issued in FL
Practice address
955 W State Road 436 Ste 1010
Altamonte Springs, FL 32714-2917
Phone
(470) 314-6991
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13339 FL Primary

Addresses

Primary practice location

955 W State Road 436 Ste 1010
Altamonte Springs, FL 32714-2917

Mailing address

628 Renaissance Pointe Apt 102
Altamonte Springs, FL 32714-3511
Phone (470) 314-6991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222000935 PR Practitioner - Chiropractic 2466824743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13339FLMDChiropractor
789PRMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Chiropractic & Wellness LLC Chiropractor CurrentSince Jan 16, 2023 Accepting new patients

Locations

538 Ave Escorial
San Juan, PR 00920
Phone (787) 777-1171

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1346830726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 RENAISSANCE POINTE APT 102",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143511",
            "telephone_number": "470-314-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W STATE ROAD 436 STE 1010",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142917",
            "telephone_number": "470-314-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTOLAZA-MACHUCA",
        "first_name": "YESENIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.