Individual provider Active NPI

John Alvin Arishin, DC

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1144379413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13439 Issued in CA
Practice address
5637 N Pershing Ave
H8A
Stockton, CA 95207-4955
Phone
(209) 957-0366
Fax
(209) 472-9433
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13439 CA Primary

Addresses

Primary practice location

5637 N Pershing Ave
H8A
Stockton, CA 95207-4955

Mailing address

5637 N Pershing Ave
H8A
Stockton, CA 95207-4955
Phone (209) 957-0366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13439CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144379413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 N PERSHING AVE",
            "address_2": "H8A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074955",
            "telephone_number": "209-957-0366",
            "fax_number": "209-472-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 N PERSHING AVE",
            "address_2": "H8A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952074955",
            "telephone_number": "209-957-0366",
            "fax_number": "209-472-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISHIN",
        "first_name": "JOHN",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.