Individual provider Active NPI

Nelson Santos, D.C.

  • Chiropractor
  • Moorpark, CA
National Provider Identifier
1932316494
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18176 Issued in CA
Practice address
530 New Los Angeles Ave
Ste 210
Moorpark, CA 93021-2089
Phone
(805) 531-1188
Fax
(805) 531-1112
NPI assigned
May 16, 2007
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 18176 CA Primary

Addresses

Primary practice location

530 New Los Angeles Ave
Ste 210
Moorpark, CA 93021-2089

Mailing address

100 W High St
# 748
Moorpark, CA 93021-1113
Phone (805) 531-1188

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

LicenseStateTypeSpecialty
18176CAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Nelson Santos Chiropractic, Inc. Chiropractor CurrentSince Mar 6, 2022 Accepting new patients
Ed Green Chiropractic, a Professional Corporation CurrentSince Aug 1, 2021 Accepting new patients

Locations

100 W High St
#748
Moorpark, CA 93021

301 Science Dr
Ste 100
Moorpark, CA 93021
Phone (805) 531-1188

530 New Los Angeles Ave
Ste 210
Moorpark, CA 93021
Phone (805) 523-0400

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1932316494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HIGH ST",
            "address_2": "# 748",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211113",
            "telephone_number": "805-531-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NEW LOS ANGELES AVE",
            "address_2": "STE 210",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212089",
            "telephone_number": "805-531-1188",
            "fax_number": "805-531-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.