Individual provider Active NPI

Andrew Zane West, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Buellton, CA
National Provider Identifier
1750387882
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-28761 Issued in CA
Practice address
90 W. Hwy 246
#1
Buellton, CA 93427
Phone
(805) 688-5545
Fax
(805) 688-5676
NPI assigned
Jun 23, 2005
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-28761 CA Primary
Sports Physician Chiropractor 111NS0005X DC28761 CA

Addresses

Primary practice location

90 W. Hwy 246
#1
Buellton, CA 93427

Mailing address

P.O. Box 1294
90 W. Hwy 246 #1
Buellton, CA 93427
Phone (805) 688-5545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000571 CA Practitioner - Chiropractic 7315921673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Ynez Band of Mission IndiansGroup PAC ID 7618966516, 8 clinicians

Practice addresses (Care Compare)

90 Via Juana Rd
Santa Ynez, CA 93460-9679
Phone (805) 688-7070

PO Box
Suite 539
Santa Ynez, CA 93460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-28761CAMDChiropractor
DC28761CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Ynez Band of Mission Indians CurrentSince Oct 27, 2019 Accepting new patients
Sansum Clinic Past Accepting new patients
Craviotto Chiropractic Corp. Chiropractor Past Accepting new patients

Locations

90 Via Juana Rd
Santa Ynez, CA 93460
Phone (805) 688-7070

Interoperability endpoints

  • Direct secure messaging: andrew.west.p1@direct.sythc.nextgenshare.com

Organizations & group practices 4

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1750387882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1294",
            "address_2": "90 W. HWY 246 #1",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "93427",
            "telephone_number": "805-688-5545",
            "fax_number": "805-688-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W. HWY 246",
            "address_2": "#1",
            "city": "BUELLTON",
            "state": "CA",
            "postal_code": "93427",
            "telephone_number": "805-688-5545",
            "fax_number": "805-688-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANDREW",
        "middle_name": "ZANE",
        "name_prefix": "Mr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28761",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC28761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buellton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.