Active NPI
Romeo Eclavea Dimaano, D.C.
- Chiropractor
- Camarillo, CA
National Provider Identifier
1336292101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30203
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30203 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Chiropractic and Wellness Center | Chiropractor | Past | Accepting new patients |
| Ayala Chiropractic Inc Apc | Past | Accepting new patients | |
| Veselak Chiropractic, Corporation | Chiropractor | Past | 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.
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- Chiropractor
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- Sports Physician Chiropractor
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-
- Chiropractor
- Camarillo, CA
- NPI 1720250533
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.