Active NPI
Alan Schwartz, D.C.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1417954884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12533
- Practice address
- 504 S Brookhurst St
Anaheim, CA 92804-2416 - Phone
- (714) 533-1813
- Fax
- (714) 533-0618
- NPI assigned
- Jun 30, 2005
- Reactivated
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12533 | CA | Primary |
Addresses
Primary practice location
504 S Brookhurst St
Anaheim, CA 92804-2416
Mailing address
504 S Brookhurst St
Anaheim, CA 92804-2416
Phone (714) 533-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T04796 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
504 S Brookhurst St
Anaheim, CA 92804-2416
Phone (714) 533-1813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Anaheim, CA
- NPI 1518157569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1417954884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042416",
"telephone_number": "714-533-1813",
"fax_number": "714-533-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042416",
"telephone_number": "714-533-1813",
"fax_number": "714-533-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "T04796",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.