Active NPI
Roderick J. Bazil, D.C.
- Chiropractor
- Huntington Beach, CA
National Provider Identifier
1093890691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19377
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051219001003 | CA | Practitioner - Chiropractic | 6507888567 | Practice locations: Huntington Beach, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bazil Chiropractic Health Center | Chiropractor | Current | 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.
-
- Chiropractor
- Huntington Beach, CA
- NPI 1750024550
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.