Andrey Ostatnigrosh, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC37116 Issued in CA

Practice address

5717 N 1St St
Fresno, CA 93710-6203

Phone

(559) 246-0090

NPI assigned

Nov 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diaso Chiropractic Professional Corporation

  • Chiropractor
  • Cambria, CA
  • NPI 1922242973
  Medicare reassignment NPD
• Ostatnigrosh Williams Chiropractic Professional Corporation

  • Sports Physician Chiropractor
  • Nipomo, CA
  • NPI 1104685353
  Medicare reassignment NPD

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1447074448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 S OAK GLEN AVE",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106203",
            "telephone_number": "559-246-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTATNIGROSH",
        "first_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Leigh Osegueda
• Dennis C Osena, FNP-BC
• Jaylene Osena, FNP
• Susana Osorio, OTA
• Celine Ossinalde
• Hannah Osterberg
• Judith Pamela Osterloh, RD
• Farshad Sirjani Ostovar, M.D.
• Paul Witold Ostoya, M.D.
• Lillian Ostrom

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.