Active NPI
Roger Joseph Casillas, DC
- Chiropractor
- Rowland Heights, CA
National Provider Identifier
1407611668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36170
- Practice address
- 17522 Colima Rd
Rowland Heights, CA 91748-1750 - Phone
- (626) 935-9733
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 | DC36170 | CA | Primary |
Addresses
Primary practice location
17522 Colima Rd
Rowland Heights, CA 91748-1750
Mailing address
6317 Monterey Rd Apt 309
Los Angeles, CA 90042-4382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515003471 | CA | Practitioner - Chiropractic | 6901324656 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36170 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1407611668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 MONTEREY RD APT 309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17522 COLIMA RD",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481750",
"telephone_number": "626-935-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASILLAS",
"first_name": "ROGER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.