Organization Active NPI

Blake Caropino Chiropractic Inc

  • Chiropractor
  • Menifee, CA
National Provider Identifier
1306584297
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLAKE CAROPINO CHIROPRACTIC INC
Practice address
26820 Cherry Hills Blvd Ste 4
Menifee, CA 92586-2531
Phone
(951) 679-4121
Fax
(951) 679-2306
NPI assigned
May 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Authorized official

Name
Blake Caropino, DCNPI 1417462060
Title
President
Phone
(951) 679-4121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

26820 Cherry Hills Blvd Ste 4
Menifee, CA 92586-2531

Mailing address

26820 Cherry Hills Blvd Ste 4
Menifee, CA 92586-2531
Phone (951) 679-4121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220705000974 CA Part B Supplier - Clinic/Group Practice 9335529635 Receives reassigned benefits from 1 practitioner
Practice locations: Menifee, CA

National Provider Directory

National Provider Directory

Locations

26820 Cherry Hills Blvd
Ste 4
Sun City, CA 92586
Phone (951) 404-6452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1306584297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26820 CHERRY HILLS BLVD STE 4",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862531",
            "telephone_number": "951-679-4121",
            "fax_number": "951-679-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26820 CHERRY HILLS BLVD STE 4",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862531",
            "telephone_number": "951-679-4121",
            "fax_number": "951-679-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE CAROPINO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "CAROPINO",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-679-4121",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.