Individual provider Active NPI

John B De Lemos, D C

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1225042880
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24329 Issued in CA
Practice address
21704 Golden Triangle Rd
Ste 104
Santa Clarita, CA 91350-5833
Phone
(661) 222-9021
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24329 CA Primary

Addresses

Primary practice location

21704 Golden Triangle Rd
Ste 104
Santa Clarita, CA 91350-5833

Mailing address

24394 Mira Vista St
Valencia, CA 91355-6036
Phone (661) 993-3839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912003019 CA Practitioner - Chiropractic 6608149703 Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21704 Golden Triangle Rd
Suite 104
Santa Clarita, CA 91350-5833
Phone (661) 222-9021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24329CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1225042880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24394 MIRA VISTA ST",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913556036",
            "telephone_number": "661-993-3839",
            "fax_number": "661-259-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21704 GOLDEN TRIANGLE RD",
            "address_2": "STE 104",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505833",
            "telephone_number": "661-222-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEMOS",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "D C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.