Organization Active NPI

Pure Sports Medical Corporation

  • Sports Physician Chiropractor
  • Oxnard, CA
National Provider Identifier
1497233522
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
PURE SPORTS MEDICAL CORPORATION
Practice address
4300 Tradewinds Dr Ste 300
Oxnard, CA 93035-1458
Phone
(805) 815-3399
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Dr. Atman Reyes, MD
Title
President
Phone
(805) 815-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

4300 Tradewinds Dr Ste 300
Oxnard, CA 93035-1458

Mailing address

4300 Tradewinds Dr Ste 300
Oxnard, CA 93035-1458
Phone (805) 815-3399

National Provider Directory

National Provider Directory

Locations

4300 Tradewinds Dr
Ste 300
Oxnard, CA 93035
Phone (805) 815-3399

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1497233522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 TRADEWINDS DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351458",
            "telephone_number": "805-815-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TRADEWINDS DR STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930351458",
            "telephone_number": "805-815-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SPORTS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ATMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-815-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.