Individual provider Active NPI

Blake Caropino, DC

  • Chiropractor
  • Menifee, CA
National Provider Identifier
1417462060
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33880 Issued in CA
Practice address
26820 Cherry Hills Blvd Ste 4
Menifee, CA 92586-2531
Phone
(951) 679-4121
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 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 33880 CA Primary

Addresses

Primary practice location

26820 Cherry Hills Blvd Ste 4
Menifee, CA 92586-2531

Mailing address

2649 E Charlinda St
West Covina, CA 91791-2901
Phone (626) 675-2406

Other names 1

  • Blake Caropino Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705001128 CA Practitioner - Chiropractic 4587044888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26820 Cherry Hills Blvd
Suite 4
Menifee, CA 92586-2531
Phone (951) 679-4121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33880CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blake Caropino Chiropractic Inc Chiropractor CurrentSince May 1, 2022 Accepting new patients

Locations

26820 Cherry Hills Blvd
Ste 4
Sun City, CA 92586
Phone (951) 404-6452

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1417462060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 E CHARLINDA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912901",
            "telephone_number": "626-675-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26820 CHERRY HILLS BLVD STE 4",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862531",
            "telephone_number": "951-679-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROPINO",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "CAROPINO",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

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