Individual provider Active NPI

Louis Camarillo, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1326478546
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32760 Issued in CA
Practice address
166 S Alvarado St
Los Angeles, CA 90057-2243
Phone
(503) 508-8570
NPI assigned
Nov 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32760 CA Primary

Addresses

Primary practice location

166 S Alvarado St
Los Angeles, CA 90057-2243

Mailing address

5300 Fairview Blvd
Apt 15
Los Angeles, CA 90056-2382
Phone (503) 508-8570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811002291 CA Practitioner - Chiropractic 4981975711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

625 W College St
Suite 206
Los Angeles, CA 90012-3059
Phone (213) 413-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28111CAMDDentist
32760CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yoo Omni Wellness Chiropractic Clinic, Inc. Chiropractor CurrentSince Jan 21, 2020 Accepting new patients

Locations

625 W College St
Ste 206
Los Angeles, CA 90012
Phone (213) 413-2225

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1326478546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 FAIRVIEW BLVD",
            "address_2": "APT 15",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900562382",
            "telephone_number": "503-508-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572243",
            "telephone_number": "503-508-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "LOUIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32760",
            "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 Apr 27, 2017; 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.