Active NPI
Diego Fernando Jativa, D.C.
- Chiropractor
- Orlando, FL
National Provider Identifier
1578625323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7151
- Practice address
- 535 S Chickasaw TRL
Orlando, FL 32825-7801 - Phone
- (407) 277-1031
- Fax
- (407) 277-5556
- NPI assigned
- Dec 15, 2006
- Last updated
- Mar 27, 2014
- 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 | CH7151 | FL | Primary |
Addresses
Primary practice location
535 S Chickasaw TRL
Orlando, FL 32825-7801
Mailing address
2467 E Semoran Blvd
Apopka, FL 32703-5806
Phone (407) 814-0985
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53968 | Other | FL | BLUE CROSS BLUE SHIELD |
| 109233 | Other | FL | AMERIGROUP |
| 9705808 | Other | FL | CIGNA |
| 197020 | Other | FL | CHIRO ALLIANCE CORP. |
| 7443014 | Other | FL | AETNA |
| 381779200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7151 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1578625323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2467 E SEMORAN BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035806",
"telephone_number": "407-814-0985",
"fax_number": "407-814-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S CHICKASAW TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328257801",
"telephone_number": "407-277-1031",
"fax_number": "407-277-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATIVA",
"first_name": "DIEGO",
"middle_name": "FERNANDO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "53968",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "109233",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9705808",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO ALLIANCE CORP.",
"identifier": "197020",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7443014",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381779200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.