Individual provider Active NPI

Robert L Fisher, D.C.

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1306921267
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17881 Issued in CA
Practice address
26850 Sierra Hwy
Ste a-14
Santa Clarita, CA 91321-2254
Phone
(661) 299-4933
Fax
(661) 299-4664
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17881 CA Primary

Addresses

Primary practice location

26850 Sierra Hwy
Ste a-14
Santa Clarita, CA 91321-2254

Mailing address

26850 Sierra Hwy
Ste a-14
Santa Clarita, CA 91321-2254
Phone (661) 299-4933

Other identifiers 1

IdentifierTypeStateIssuer
DC-0178810OtherCABLUE SHIELD ID.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000087 CA Practitioner - Chiropractic 6901088913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26850 Sierra Hwy
Suite A14
Santa Clarita, CA 91321-2267
Phone (661) 299-4933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17881CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian M Wildemuth Chiropractic PC Chiropractor PastSince Oct 18, 2010 Accepting new patients

Organizations & group practices 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306921267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 SIERRA HWY",
            "address_2": "STE A-14",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212254",
            "telephone_number": "661-299-4933",
            "fax_number": "661-299-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 SIERRA HWY",
            "address_2": "STE A-14",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212254",
            "telephone_number": "661-299-4933",
            "fax_number": "661-299-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID.",
            "identifier": "DC-0178810",
            "state": "CA"
        }
    ],
    "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 Jul 9, 2007; 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.