Organization Active NPI

Christopher E. Clevenger, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Monterey, CA
National Provider Identifier
1710133814
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G84499 Issued in CA
Legal business name
CHRISTOPHER E. CLEVENGER, M.D., INC.
Practice address
980 Cass St
Monterey, CA 93940-4548
Phone
(831) 648-3361
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Mikazuki S. Kamimura
Title
Practice Manager
Phone
(831) 648-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G84499 CA Primary

Addresses

Primary practice location

980 Cass St
Monterey, CA 93940-4548

Mailing address

980 Cass St
Monterey, CA 93940-4548
Phone (831) 648-3361

National Provider Directory

National Provider Directory

Locations

2 Upper Ragsdale Dr
Ste B160
Monterey, CA 93940
Phone (831) 333-4000

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": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1710133814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404548",
            "telephone_number": "831-648-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404548",
            "telephone_number": "831-648-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E. CLEVENGER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "KAMIMURA",
        "authorized_official_first_name": "MIKAZUKI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "831-648-3361"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.