Individual provider Active NPI

Erik David Jameson, D.C.

  • Chiropractor
  • Lakeport, CA
National Provider Identifier
1194145557
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32919 Issued in CA
Practice address
930 11TH St
Lakeport, CA 95453-4104
Phone
(707) 263-3124
Fax
(707) 263-3125
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32919 CA Primary

Addresses

Primary practice location

930 11TH St
Lakeport, CA 95453-4104

Mailing address

930 11TH St
Lakeport, CA 95453-4104
Phone (707) 263-3124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603001410 CA Practitioner - Chiropractic 6507089935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erik Jameson Chiropractic IncGroup PAC ID 5496152290, 2 clinicians

Practice addresses (Care Compare)

1175 N Main St
Lakeport, CA 95453-3858
Phone (707) 349-3124

930 11TH St
Lakeport, CA 95453-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32919CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Erik Jameson Chiropractic Inc. Chiropractor CurrentSince Jul 30, 2021 Accepting new patients

Locations

1175 N Main St
Lakeport, CA 95453
Phone (707) 263-3124

930 11th St
Lakeport, CA 95453
Phone (707) 263-3124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1194145557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 11TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534104",
            "telephone_number": "707-263-3124",
            "fax_number": "707-263-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 11TH ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534104",
            "telephone_number": "707-263-3124",
            "fax_number": "707-263-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "ERIK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.