Complete Performance Sports Medicine and Longevity Center, Inc
NPI 1821751520ActiveOrganization· Family Medicine· Thousand Oaks, CA
Family Medicine in Thousand Oaks, California, registered in NPPES in October 2021. The authorized official on file is Chris Alvarez, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821751520 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2021 |
| Last updated in NPPES | Oct 19, 2021 |
| Certified by provider | Oct 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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