Individual provider Active NPI

Roy Calvin Page II, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1275960924
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32715 Issued in CA
Practice address
10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931
Phone
(310) 470-2909
Fax
(310) 470-3286
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32715 CA Primary

Addresses

Primary practice location

10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931

Mailing address

10474 Santa Monica Blvd Ste 304
Los Angeles, CA 90025-6931
Phone (310) 470-2909

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32715CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Sports & Spine, Inc. Chiropractor PastSince Sep 10, 2011 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1275960924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256931",
            "telephone_number": "310-470-2909",
            "fax_number": "310-470-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256931",
            "telephone_number": "310-470-2909",
            "fax_number": "310-470-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ROY",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.