Individual provider Active NPI

Alyce Ann Easterline, DC

  • Chiropractor
  • North Hollywood, CA
National Provider Identifier
1679608087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA22654 Issued in CA
Practice address
10912 Riverside Dr
North Hollywood, CA 91602
Phone
(818) 980-6198
Fax
(818) 760-2063
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

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 CA22654 CA Primary

Addresses

Primary practice location

10912 Riverside Dr
North Hollywood, CA 91602

Mailing address

10912 Riverside Dr
North Hollywood, CA 91602
Phone (818) 980-6198

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

State licenses

LicenseStateTypeSpecialty
CA22654CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679608087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10912 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-980-6198",
            "fax_number": "818-760-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91602",
            "telephone_number": "818-980-6198",
            "fax_number": "818-760-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERLINE",
        "first_name": "ALYCE",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA22654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.