Individual provider Active NPI

Roderick J. Bazil, D.C.

  • Chiropractor
  • Huntington Beach, CA
National Provider Identifier
1093890691
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19377 Issued in CA
Practice address
18800 Main St
Suite # 207
Huntington Beach, CA 92648-1707
Phone
(714) 375-5864
Fax
(714) 375-4374
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 19377 CA Primary
Sports Physician Chiropractor 111NS0005X 19377 CA

Addresses

Primary practice location

18800 Main St
Suite # 207
Huntington Beach, CA 92648-1707

Mailing address

18800 Main St
Suite # 207
Huntington Beach, CA 92648-1707
Phone (714) 375-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219001003 CA Practitioner - Chiropractic 6507888567 Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bazil Chiropractic Health Center Chiropractor CurrentSince Jun 23, 1989 Accepting new patients

Locations

18800 Main St
Ste 207
Huntington Beach, CA 92648
Phone (714) 375-5864

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1093890691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "SUITE # 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-375-5864",
            "fax_number": "714-375-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "SUITE # 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "714-375-5864",
            "fax_number": "714-375-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIL",
        "first_name": "RODERICK",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19377",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "19377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.