Ryota Justin Aizawa, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36976 Issued in CA

Practice address

2140 Peralta Blvd Ste 102
Fremont, CA 94536-3959

Phone

(510) 936-2631

Fax

(510) 902-7808

NPI assigned

Jun 24, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aizawa Chiropractic

  • Chiropractor
  • Fremont, CA
  • NPI 1508682865
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1487498366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PERALTA BLVD STE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363959",
            "telephone_number": "510-936-2631",
            "fax_number": "510-902-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PERALTA BLVD STE 102",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363959",
            "telephone_number": "510-936-2631",
            "fax_number": "510-902-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIZAWA",
        "first_name": "RYOTA",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Ahuja
• Rajiv R Ahuja, M.D
• Pono Victor Aiona, D.C
• Air for Life LLC (Air For Life)
• Aizawa Chiropractic
• Huda Ajaz
• Smita Pankaj Ajmera, RPT
• Aka Dental Inc
• Tahereh Akbari
• Tahani Al Mashta, DDS

• Chiropractor in Fremont, CA
• Providers in Fremont, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.