Individual provider Active NPI

Eric Prestin, D.C.

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1528084241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27950 Issued in CA
Practice address
1973 S Victoria Ave Ste B
Ventura, CA 93003-6682
Phone
(805) 658-8115
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27950 CA Primary

Addresses

Primary practice location

1973 S Victoria Ave Ste B
Ventura, CA 93003-6682

Mailing address

1973 S Victoria Ave Ste B
Ventura, CA 93003-6682
Phone (805) 658-8115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000738 CA Practitioner - Chiropractic 7214934074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1623 Goodyear Ave
Suite B
Ventura, CA 93003-5805
Phone (805) 658-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27950CAMDChiropractor
27950CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestin Chiropractic Professional Corporation Chiropractor CurrentSince Jun 26, 2006 Accepting new patients

Locations

1623 Goodyear Ave
Ste B
Ventura, CA 93003
Phone (805) 658-8115

1973 S Victoria Ave
Ste B
Ventura, CA 93003
Phone (805) 658-8115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528084241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 S VICTORIA AVE STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036682",
            "telephone_number": "805-658-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 S VICTORIA AVE STE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036682",
            "telephone_number": "805-658-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTIN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.