Individual provider Active NPI

Michael A. Warner, D.C.

  • Rehabilitation Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1902974512
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
17906 Issued in CA
Practice address
23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105
Phone
(818) 340-0834
Fax
(818) 340-0983
NPI assigned
Dec 1, 2006
Last updated
Jun 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 17906 CA Primary

Addresses

Primary practice location

23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105

Mailing address

23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1105
Phone (818) 340-0834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000278 CA Practitioner - Chiropractic 9234230228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23161 Ventura Blvd
Suite 209
Woodland Hills, CA 91364-1190
Phone (818) 340-0834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17906CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael Warner a Professional Chiropratic Corporation CurrentSince Mar 1, 2007 Accepting new patients

Locations

23161 Ventura Blvd
Ste 209
Woodland Hills, CA 91364
Phone (818) 340-0834

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1902974512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-340-0834",
            "fax_number": "818-340-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23161 VENTURA BLVD",
            "address_2": "SUITE 209",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641105",
            "telephone_number": "818-340-0834",
            "fax_number": "818-340-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "17906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.