NPIMap

Organization Active NPI

Berger Bodysattva Chiropractic Corporation

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1831283514
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22590 Issued in CA
Legal business name
BERGER BODYSATTVA CHIROPRACTIC CORPORATION
Practice address
1414 E. Thousand Oaks Blvd.
Suite 211
Thousand Oaks, CA 91362
Phone
(805) 497-0300
Fax
(805) 497-9321
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. Shana E. Berger, DCNPI 1811080344
Title
President
Phone
(805) 497-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC22590 CA Primary

Addresses

Primary practice location

1414 E. Thousand Oaks Blvd.
Suite 211
Thousand Oaks, CA 91362

Mailing address

1414 E. Thousand Oaks Blvd.
Suite 211
Thousand Oaks, CA 91362
Phone (805) 497-0300

Other names 1

  • Bodysattva Healing Arts Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726003666 CA Part B Supplier - Clinic/Group Practice 0244500080 Receives reassigned benefits from 1 practitioner
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

1414 E Thousand Oaks Blvd
Ste 211
Thousand Oaks, CA 91362
Phone (805) 449-1443

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1831283514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E. THOUSAND OAKS BLVD.",
            "address_2": "SUITE 211",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-497-0300",
            "fax_number": "805-497-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E. THOUSAND OAKS BLVD.",
            "address_2": "SUITE 211",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-497-0300",
            "fax_number": "805-497-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER BODYSATTVA CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-497-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodysattva Healing Arts Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.