Individual provider Active NPI

Christian Alvarez, DC

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1477729150
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26007 Issued in CA
Practice address
101 Hodencamp Rd
Suite #103
Thousand Oaks, CA 91360-5836
Phone
(805) 777-7003
Fax
(805) 777-7043
NPI assigned
May 2, 2008
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26007 CA Primary

Addresses

Primary practice location

101 Hodencamp Rd
Suite #103
Thousand Oaks, CA 91360-5836

Mailing address

101 Hodencamp Rd Ste 103
Thousand Oaks, CA 91360-5831
Phone (805) 777-7003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000808 CA Practitioner - Chiropractic 8628162757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Hodencamp Rd
Suite 103
Thousand Oaks, CA 91360-5831
Phone (805) 777-7003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26007CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Performance Sports Medicine and Longevity Center, Inc CurrentSince Dec 29, 2024 Accepting new patients

Locations

101 Hodencamp Rd
Ste 103
Thousand Oaks, CA 91360
Phone (805) 402-7576

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1477729150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD STE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605831",
            "telephone_number": "805-777-7003",
            "fax_number": "805-777-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD",
            "address_2": "SUITE #103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605836",
            "telephone_number": "805-777-7003",
            "fax_number": "805-777-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.