Active NPI
Christopher Evan Demartini, D.C.
- Neurology Chiropractor
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC29961
- Practice address
- 1411 Marsh St Ste 106
San Luis Obispo, CA 93401-2967 - Phone
- (805) 439-1581
- Fax
- (650) 488-7117
- NPI assigned
- Jun 6, 2006
- Last updated
- Mar 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29961 | CA | |
| Neurology Chiropractor | 111NN0400X | DC29961 | CA | Primary |
Addresses
Primary practice location
1411 Marsh St Ste 106
San Luis Obispo, CA 93401-2967
Mailing address
1411 Marsh St Ste 106
San Luis Obispo, CA 93401-2967
Phone (805) 439-1581
Other practice location 1
2800 Riverside Ave
Paso Robles, CA 93446-1311
Phone (805) 238-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 Marsh St
Suite 106
San Luis Obispo, CA 93401-2967
Phone (805) 439-1581
2800 Riverside Ave
Suite 101
Paso Robles, CA 93446-1312
Phone (805) 929-3211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29961 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast, Inc | Current | Accepting new patients | |
| California Neurohealth | Neurology | Current | Accepting new patients |
| Diane Au, L.Ac. | Past | Accepting new patients |
Locations
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2800 Riverside Ave
Ste 101
Paso Robles, CA 93446
Phone (805) 238-7250
1411 Marsh St
Ste 106
San Luis Obispo, CA 93401
Phone (805) 242-6462
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230
Interoperability endpoints
- christopher.demartini.1@17363.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
dba Community Health Centers-Casa
- Community Health Clinic/Center
- San Luis Obispo, CA
- NPI 1629377452
-
- Acupuncturist
- San Mateo, CA
- NPI 1962826891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710633600000",
"number": "1982643433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 MARSH ST STE 106",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012967",
"telephone_number": "805-439-1581",
"fax_number": "650-488-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 MARSH ST STE 106",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012967",
"telephone_number": "805-439-1581",
"fax_number": "650-488-7117"
}
],
"practiceLocations": [
{
"address_1": "2800 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Paso Robles",
"state": "CA",
"postal_code": "934461311",
"country_code": "US",
"telephone_number": "805-238-7250",
"fax_number": "805-238-0165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARTINI",
"first_name": "CHRISTOPHER",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-03-17",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29961",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "DC29961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.