Active NPI
Sebastian A Altamirano, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1912185679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27714
- Practice address
- 1625 W Olympic Blvd
Suite M103
Los Angeles, CA 90015-3809 - Phone
- (323) 375-5147
- Fax
- (323) 375-5155
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27714 | CA | Primary |
Addresses
Primary practice location
1625 W Olympic Blvd
Suite M103
Los Angeles, CA 90015-3809
Mailing address
PO Box 546
Cardiff, CA 92007-0546
Phone (858) 436-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27714 | CA | MD | Chiropractor |
| 27714 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin C Lee Chiropractic PC | Chiropractor | Past | Accepting new patients |
| Marvin C Lee Chiropractic, PC | Past | Accepting new patients |
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.
-
- Chiropractor
- Los Angeles, CA
- NPI 1073922936
-
- Acupuncturist
- Los Angeles, CA
- NPI 1255868642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487376000000",
"number": "1912185679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "CARDIFF",
"state": "CA",
"postal_code": "920070546",
"telephone_number": "858-436-7600",
"fax_number": "760-797-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 W OLYMPIC BLVD",
"address_2": "SUITE M103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153809",
"telephone_number": "323-375-5147",
"fax_number": "323-375-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIRANO",
"first_name": "SEBASTIAN",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2017-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.