Active NPI
Larry Lloyd Omo, D.C.
- Chiropractor
- Lakewood, CA
National Provider Identifier
1649396607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14455
- Practice address
- 5220 Clark Ave
#445
Lakewood, CA 90712-2618 - Phone
- (562) 867-0993
- Fax
- (562) 804-0499
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 14455 | CA | Primary |
Addresses
Primary practice location
5220 Clark Ave
#445
Lakewood, CA 90712-2618
Mailing address
14472 Spa Dr
Huntington Beach, CA 92647-2046
Phone (714) 934-6276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050307000520 | CA | Practitioner - Chiropractic | 2567416167 | Practice locations: Lakewood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5220 Clark Ave
Suite 210
Lakewood, CA 90712-2642
Phone (562) 867-0993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14455 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Professional Chiropractic Corp. | Chiropractor | Past | Accepting new patients |
| Figueroa Chiropractic Massage & Nutrition PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lakewood, CA
- NPI 1194948067
-
- Chiropractor
- Lakewood, CA
- NPI 1013195056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649396607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14472 SPA DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926472046",
"telephone_number": "714-934-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 CLARK AVE",
"address_2": "#445",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122618",
"telephone_number": "562-867-0993",
"fax_number": "562-804-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMO",
"first_name": "LARRY",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.