Active NPI
Andre M Chevalier, D.C.
- Sports Physician Chiropractor
- Santa Clara, CA
National Provider Identifier
1619194248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 21269
- Practice address
- 1265 El Camino Real
Suite 100
Santa Clara, CA 95050-4257 - Phone
- (408) 241-8326
- Fax
- (408) 241-2600
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 21269 | CA | |
| Sports Physician Chiropractor | 111NS0005X | 21269 | CA | Primary |
Addresses
Primary practice location
1265 El Camino Real
Suite 100
Santa Clara, CA 95050-4257
Mailing address
1265 El Camino Real
Suite 100
Santa Clara, CA 95050-4257
Phone (408) 241-8326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andre Mathieu Chevalier | Past | Accepting new patients | |
| Chevalier Sports Chiropractic Associates, PC | Sports Physician | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Santa Clara, CA
- NPI 1942427588
-
- Sports Physician Chiropractor
- Santa Clara, CA
- NPI 1659739811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1619194248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 EL CAMINO REAL",
"address_2": "SUITE 100",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504257",
"telephone_number": "408-241-8326",
"fax_number": "408-241-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 EL CAMINO REAL",
"address_2": "SUITE 100",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504257",
"telephone_number": "408-241-8326",
"fax_number": "408-241-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER",
"first_name": "ANDRE",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "21269",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "21269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.