Active NPI
Andre Mark Cayabyab, DC
- Chiropractor
- City of Industry, CA
National Provider Identifier
1447957857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 36586
- Practice address
- 18575 Gale Ave Ste 265
City of Industry, CA 91748-1384 - Phone
- (626) 623-8684
- Fax
- (626) 768-2977
- NPI assigned
- Feb 15, 2023
- Last updated
- Feb 25, 2023
- 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 | 36586 | CA | Primary |
Addresses
Primary practice location
18575 Gale Ave Ste 265
City of Industry, CA 91748-1384
Mailing address
16523 Poppyglen LN
Cerritos, CA 90703-2091
Phone (818) 730-6276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36586 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Health Center
- Chiropractor
- City of Industry, CA
- NPI 1619485158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1447957857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16523 POPPYGLEN LN",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032091",
"telephone_number": "818-730-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18575 GALE AVE STE 265",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917481384",
"telephone_number": "626-623-8684",
"fax_number": "626-768-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYABYAB",
"first_name": "ANDRE",
"middle_name": "MARK",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "36586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in City of Industry, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.