Organization Active NPI

Lidia Alzate DC a Chiropractic Corporation

  • Chiropractor
  • Burbank, CA
National Provider Identifier
1609123983
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32309 Issued in CA
Legal business name
LIDIA ALZATE DC A CHIROPRACTIC CORPORATION
Practice address
916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400
Phone
(818) 842-7700
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Lidia Alzate, D.C.NPI 1720348758
Title
President
Phone
(818) 842-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 32309 CA Primary

Addresses

Primary practice location

916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400

Mailing address

916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400
Phone (818) 842-7700

Other identifiers 1

IdentifierTypeStateIssuer
1720348758OtherCAINDIVIDUAL NATIONAL PROVIDER IDENTIFICATION NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120808000503 CA Part B Supplier - Clinic/Group Practice 6800042771 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA; San Fernando, CA

National Provider Directory

National Provider Directory

Locations

916 W Burbank Blvd
Ste L
Burbank, CA 91506
Phone (818) 842-7700

1123 Celis St
San Fernando, CA 91340
Phone (818) 838-4900

451 S Brand Blvd
Ste 203
San Fernando, CA 91340
Phone (818) 838-4900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1609123983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BURBANK BLVD",
            "address_2": "SUITE L",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061400",
            "telephone_number": "818-842-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BURBANK BLVD",
            "address_2": "SUITE L",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061400",
            "telephone_number": "818-842-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDIA ALZATE DC A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "ALZATE",
        "authorized_official_first_name": "LIDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-842-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1720348758",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.