Individual provider Active NPI

Christopher Evan Demartini, D.C.

  • Neurology Chiropractor
  • San Luis Obispo, CA
National Provider Identifier
1982643433
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC29961 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20060712000298 CA Practitioner - Chiropractic 2062425168 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
DC29961CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Oct 7, 2022 Accepting new patients
California Neurohealth Neurology CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.