Individual provider Active NPI

Romeo Eclavea Dimaano, D.C.

  • Chiropractor
  • Camarillo, CA
National Provider Identifier
1336292101
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30203 Issued in CA
Practice address
2440 Las Posas Rd
Camarillo, CA 93010-3458
Phone
(805) 384-0101
Fax
(805) 384-0220
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30203 CA Primary

Addresses

Primary practice location

2440 Las Posas Rd
Camarillo, CA 93010-3458

Mailing address

2440 Las Posas Rd
Camarillo, CA 93010-3458
Phone (805) 384-0101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000388 CA Practitioner - Chiropractic 1951470848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2370 Las Posas Rd
Suite B
Camarillo, CA 93010-3444
Phone (805) 384-0101

2370 Las Posas Rd B
Camarillo, CA 93010-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30203CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic and Wellness Center Chiropractor PastSince Jan 1, 1990 Accepting new patients
Ayala Chiropractic Inc Apc Past Accepting new patients
Veselak Chiropractic, Corporation Chiropractor PastSince Oct 29, 2012 Accepting new patients

Organizations & group practices 4

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1336292101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103458",
            "telephone_number": "805-384-0101",
            "fax_number": "805-384-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103458",
            "telephone_number": "805-384-0101",
            "fax_number": "805-384-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAANO",
        "first_name": "ROMEO",
        "middle_name": "ECLAVEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.