Center for Anti-Aging

Primary specialty

SpecialistTaxonomy code 174400000X

License

G28372 Issued in CA

Legal business name

CENTER FOR ANTI-AGING

Practice address

588 San Ramon Valley Blvd
Ste 100
Danville, CA 94526-4086

Phone

(925) 838-9996

Fax

(530) 676-5487

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel M Allende, R.N.NPI 1538279534

Title

Owner

Phone

(925) 838-9996

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Marcelo Allende, D.C.

  • Chiropractor
  • Oakland, CA
  • NPI 1538279534
  NPD (past) Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1689012627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 SAN RAMON VALLEY BLVD",
            "address_2": "STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264086",
            "telephone_number": "925-838-9996",
            "fax_number": "530-676-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SAN RAMON VALLEY BLVD",
            "address_2": "STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264086",
            "telephone_number": "925-838-9996",
            "fax_number": "530-676-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ANTI-AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-838-9996",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "781895",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick E Castro
• Lauren Nicole Cattolico, M.A., M.F.T.
• Shawn Cavender
• Richard Leon Cazin, PA
• Abigail Cecilio
• Certified Hand Rehabilitation Center
• Rhonda Kay Cesana
• Elden Verlin Chalmers, M.F.T
• Roberta Chambers
• Amy Elizabeth Chambliss, PSY.D.

• Specialist in Danville, CA
• Providers in Danville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.