NPIMap

Organization Active NPI

Optimal Chiropractic

  • Health Service Clinic/Center
  • Camarillo, CA
National Provider Identifier
1861910010
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
DC33749 Issued in CA
Legal business name
OPTIMAL CHIROPRACTIC
Doing business as
Optimal Chiropractic
Practice address
760 Las Posas Rd Ste A3
Camarillo, CA 93010-2910
Phone
(805) 482-0105
Fax
(805) 482-0205
NPI assigned
Sep 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kassandra Walkowiak, DCNPI 1609310119
Title
Dr.
Phone
(805) 482-0105

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
Health Service Clinic/Center 261QH0100X DC33749 CA Primary

Addresses

Primary practice location

760 Las Posas Rd Ste A3
Camarillo, CA 93010-2910

Mailing address

760 Las Posas Rd Ste A3
Camarillo, CA 93010-2910
Phone (805) 482-0105

Other identifiers 1

IdentifierTypeStateIssuer
1609310119OtherCANATIONAL PROVIDER NUMBER

Other names 1

  • Optimal Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

760 Las Posas Rd
Ste A3
Camarillo, CA 93010
Phone (805) 482-0105

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861910010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 LAS POSAS RD STE A3",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102910",
            "telephone_number": "805-482-0105",
            "fax_number": "805-482-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LAS POSAS RD STE A3",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102910",
            "telephone_number": "805-482-0105",
            "fax_number": "805-482-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKOWIAK",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "805-482-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "DC33749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1609310119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.