Individual provider Active NPI

Richard Roland Cimadoro, DC

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1518046028
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26855 Issued in CA
Practice address
325 E Hillcrest Dr Ste 170
Thousand Oaks, CA 91360-8251
Phone
(805) 557-1288
Fax
(805) 557-1277
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26855 CA Primary

Addresses

Primary practice location

325 E Hillcrest Dr Ste 170
Thousand Oaks, CA 91360-8251

Mailing address

325 E Hillcrest Dr Ste 170
Thousand Oaks, CA 91360-8251
Phone (805) 557-1288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002010 CA Practitioner - Chiropractic 3173704699 Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 E Hillcrest Dr
Suite 170
Thousand Oaks, CA 91360-8251
Phone (805) 557-1288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26855CAMDClinical Social Worker
DC26855CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1518046028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 170",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608251",
            "telephone_number": "805-557-1288",
            "fax_number": "805-557-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 170",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608251",
            "telephone_number": "805-557-1288",
            "fax_number": "805-557-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMADORO",
        "first_name": "RICHARD",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.