Individual provider Active NPI

Lidia Alzate, D.C.

  • Chiropractor
  • Burbank, CA
National Provider Identifier
1720348758
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32309 Issued in CA
Practice address
916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400
Phone
(818) 842-7700
Fax
(818) 842-7001
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32309 CA Primary

Addresses

Primary practice location

916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400

Mailing address

916 W Burbank Blvd
Suite L
Burbank, CA 91506-1400
Phone (818) 842-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000539 CA Practitioner - Chiropractic 6608022579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1123 Celis St
San Fernando, CA 91340-3201
Phone (818) 838-4900

916 W Burbank Blvd
Suite L
Burbank, CA 91506-1448
Phone (818) 842-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lidia Alzate DC a Chiropractic Corporation Chiropractor CurrentSince Jun 10, 2012 Accepting new patients
Prestige Home Health Care, Inc. Past Accepting new patients

Locations

916 W Burbank Blvd
Ste L
Burbank, CA 91506
Phone (818) 842-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1720348758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W BURBANK BLVD",
            "address_2": "SUITE L",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061400",
            "telephone_number": "818-842-7700",
            "fax_number": "818-842-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W BURBANK BLVD",
            "address_2": "SUITE L",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061400",
            "telephone_number": "818-842-7700",
            "fax_number": "818-842-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALZATE",
        "first_name": "LIDIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.