Jeffrey Scott Willis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 30535 Issued in CA

Practice address

24868 Apple St Ste 101
Santa Clarita, CA 91321-5038

Phone

(661) 290-2400

Fax

(661) 290-2422

NPI assigned

Apr 12, 2007

Last updated

Oct 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jeffrey Willis Chiropractic Corporation

  • Chiropractor
  • Santa Clarita, CA
  • NPI 1578706370
  Medicare reassignment NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1265656466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24868 APPLE ST",
            "address_2": "STE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215038",
            "telephone_number": "661-476-0599",
            "fax_number": "661-290-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24868 APPLE ST STE 101",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913215038",
            "telephone_number": "661-290-2400",
            "fax_number": "661-290-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Marie Williams, B.A.
• Destinie F Williams
• Elijah Williams
• Miguel Williams, M.D.
• Shafaun Earlisha Williams
• Michal Carolyn Wilson, PSY. D.
• Sydney Elizabeth Wilson
• Tamera Jeanne Wilson, PSY.D.
• Betzabe Sonaly Wintermute, SA-C
• Kristina Wittig, MD

• Chiropractor in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.