Provider Demographics
NPI:1598851792
Name:XAVIER, CHRISTOPHER H (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:H
Last Name:XAVIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:H
Other - Last Name:XAVIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:55 NEW MONTGOMERY ST
Mailing Address - Street 2:#501
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3412
Mailing Address - Country:US
Mailing Address - Phone:415-546-9642
Mailing Address - Fax:415-546-0531
Practice Address - Street 1:55 NEW MONTGOMERY ST
Practice Address - Street 2:#501
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3412
Practice Address - Country:US
Practice Address - Phone:415-546-9642
Practice Address - Fax:415-546-0531
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC190051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA943119371OtherTAX ID
CADC190051OtherLICENSE-DOWNTOWNOFFICE
CADC190050OtherLICENSE
CADC190051OtherLICENSE-DOWNTOWNOFFICE
CAT06753Medicare UPIN