Azevedo Chiropractic, a Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35580 Issued in CA

Legal business name

AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION

Doing business as

Core Care

Practice address

4070 West St
Cambria, CA 93428-3023

Phone

(805) 927-1055

Fax

(805) 927-1701

NPI assigned

Oct 27, 2006

Last updated

Nov 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirk J. Azevedo, D.C.NPI 1720096613

Title

President /Ceo

Phone

(805) 927-1055

Specialties & licenses 4

Addresses

Other names 1

• Core Care Doing business as

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.

• Kirk Joseph Azevedo, DC

  • Chiropractor
  • Cambria, CA
  • NPI 1720096613
  Authorized official Same address or phone

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1417033127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 WEST ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283023",
            "telephone_number": "805-927-1055",
            "fax_number": "805-927-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 WEST ST",
            "city": "CAMBRIA",
            "state": "CA",
            "postal_code": "934283023",
            "telephone_number": "805-927-1055",
            "fax_number": "805-927-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZEVEDO CHIROPRACTIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "AZEVEDO",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "805-927-1055",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27895",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12352",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29969",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Als Pharmacy and Compounding Center Inc (Cambria Drug And Gift)
• Kirk Joseph Azevedo, DC
• Ken Ivan Bariel, P.T.
• James Andrew Belch, P.T.
• Rita Linda Benavides
• Francesca Harloise Bolognini, HEALER

• Physical Therapist in Cambria, CA
• Providers in Cambria, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.