Individual provider Active NPI

Louis J Williams, D.C.

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1366499709
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25999 Issued in CA
Practice address
29645 Rancho California Rd Ste 218
Temecula, CA 92591-5285
Phone
(951) 676-4080
Fax
(951) 676-9086
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25999 CA Primary

Addresses

Primary practice location

29645 Rancho California Rd Ste 218
Temecula, CA 92591-5285

Mailing address

29645 Rancho California Rd Ste 218
Temecula, CA 92591-5285
Phone (951) 676-4080

Other practice location 1

29377 Rancho California Rd
102
Temecula, CA 92591-5206
Phone (951) 676-4080

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ04140ZOtherCAMEDICARE GROUP
DC0259990OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070123000684 CA Practitioner - Chiropractic 6305847096 Reassigns benefits to 1 organization
I20260408003967 ID Practitioner - Chiropractic 6305847096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unlimited Health ChiropracticGroup PAC ID 7315071339, 17 clinicians

Practice addresses (Care Compare)

29645 Rancho California Rd
Suite 218
Temecula, CA 92591-5285
Phone (951) 676-4080

9069 N Hess St
Hayden, ID 83835-9827
Phone (208) 518-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1366499709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD STE 218",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915285",
            "telephone_number": "951-676-4080",
            "fax_number": "951-676-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD STE 218",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915285",
            "telephone_number": "951-676-4080",
            "fax_number": "951-676-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29377 Rancho California Rd",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915206",
            "country_code": "US",
            "telephone_number": "951-676-4080",
            "fax_number": "951-676-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LOUIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ04140Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0259990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.