Azevedo Chiropractic Center P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0225221 Issued in CA

Legal business name

AZEVEDO CHIROPRACTIC CENTER P C

Doing business as

ADVANCED HEALTH & WELLNESS CENTER

Practice address

676 E 1St Ave Ste 15
Chico, CA 95926-3547

Phone

(530) 893-9363

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Karen Azevedo, DCNPI 1326191529

Title

Owner Doctor

Phone

(530) 893-9363

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ADVANCED HEALTH & WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Azevedo, DC

  • Chiropractor
  • Chico, CA
  • NPI 1326191529
  Medicare reassignment NPD Authorized official
• Michael Scott Oswalt, PT

  • Physical Therapist
  • Chico, CA
  • NPI 1649225905
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1417000696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-893-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-893-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEVEDO CHIROPRACTIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "530-893-9363",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0225221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE NUMB",
            "identifier": "DC0225221",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ66762Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED HEALTH & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sand Emerson Avila, MSW
• Robert Stephen Avilla, D.O.
• Alma Ayala, A.S.W.
• Andrew Ayala
• Kristi Ayars, P.T., D.P.T.
• Alan John Azevedo, MD
• Karen Azevedo, DC
• Gabriel Azoulay
• Crystal B Manalu
• Sara Syrrayia Babar

• Chiropractor in Chico, CA
• Providers in Chico, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.