Individual provider Active NPI

Christian Jean-Louis Labau, D.C

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1467888404
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32708 Issued in CA
Practice address
25005 Blue Ravine Rd Ste 130
Folsom, CA 95630-5706
Phone
(916) 539-9308
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32708 CA Primary

Addresses

Primary practice location

25005 Blue Ravine Rd Ste 130
Folsom, CA 95630-5706

Mailing address

25005 Blue Ravine Rd Ste 130
Folsom, CA 95630-5706
Phone (916) 539-9308

Other practice location 1

1831 I St
Sacramento, CA 95811-3003
Phone (916) 551-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001042 CA Practitioner - Chiropractic 0840682589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Centers, Inc.Group PAC ID 8426968520, 47 clinicians

Practice addresses (Care Compare)

1150 S Cherokee LN
Lodi, CA 95240-5918
Phone (209) 370-1700

721 Calaveras St
Lodi, CA 95240-0628
Phone (209) 331-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32708CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiropractic Lgood Fol Inc Chiropractor CurrentSince Dec 24, 2023 Accepting new patients
Community Medical Centers, Inc CurrentSince Apr 15, 2024 Accepting new patients
Community Medical Centers Inc CurrentSince Apr 15, 2024 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients

Locations

25005 Blue Ravine Rd
Ste 130
Folsom, CA 95630
Phone (916) 539-9308

7912 West Ln
Ste 221
Stockton, CA 95210
Phone (209) 546-3870

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • Direct secure messaging: christian.labau.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1467888404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25005 BLUE RAVINE RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305706",
            "telephone_number": "916-539-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25005 BLUE RAVINE RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305706",
            "telephone_number": "916-539-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 I St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958113003",
            "country_code": "US",
            "telephone_number": "916-551-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABAU",
        "first_name": "CHRISTIAN",
        "middle_name": "JEAN-LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.

Verify at the official NPI Registry.