Organization Active NPI

Chevalier Sports Chiropractic Associates, PC

  • Sports Physician Chiropractor
  • Santa Clara, CA
National Provider Identifier
1659739811
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
21269 Issued in CA
Legal business name
CHEVALIER SPORTS CHIROPRACTIC ASSOCIATES, PC
Doing business as
TEAM CLINIC Sports Therapy Group
Practice address
1265 El Camino Real
Suite 180
Santa Clara, CA 95050-4257
Phone
(408) 241-8326
Fax
(408) 241-2600
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Andre Mathieu Chevalier, D.C., D.A.C.B.S.P.NPI 1619194248
Title
Ceo
Phone
(408) 241-8326

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 21269 CA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 14765 CA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 13931 CA

Addresses

Primary practice location

1265 El Camino Real
Suite 180
Santa Clara, CA 95050-4257

Mailing address

1265 El Camino Real
Suite 180
Santa Clara, CA 95050-4257
Phone (408) 241-8326

Other names 1

  • TEAM CLINIC Sports Therapy Group Doing business as

National Provider Directory

National Provider Directory

Locations

1265 El Camino Real
Ste 180
Santa Clara, CA 95050
Phone (408) 241-8326

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": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1659739811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 EL CAMINO REAL",
            "address_2": "SUITE 180",
            "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 180",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504257",
            "telephone_number": "408-241-8326",
            "fax_number": "408-241-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEVALIER SPORTS CHIROPRACTIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "CHEVALIER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "MATHIEU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-241-8326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.B.S.P."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "21269",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14765",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAM CLINIC Sports Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 3, 2016; 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.