Active NPI
Robert Charles Jolin, D.C.
- Chiropractor
- Lakeport, CA
National Provider Identifier
1669696043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC12720
- Practice address
- 916 S Main St
Lakeport, CA 95453-5513 - Phone
- (707) 263-5183
- Fax
- (707) 263-7548
- NPI assigned
- Apr 13, 2007
- 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 | DC12720 | CA | Primary |
Addresses
Primary practice location
916 S Main St
Lakeport, CA 95453-5513
Mailing address
916 S Main St
Lakeport, CA 95453-5513
Phone (707) 263-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1978
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
916 S Main St
Lakeport, CA 95453-5513
Phone (707) 263-5183
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12720 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C Jolin DC a Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
916 S Main St
Lakeport, CA 95453
Phone (707) 263-5183
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 and National Provider Directory roles.
-
- Chiropractor
- Lakeport, CA
- NPI 1154680395
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669696043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 S MAIN ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535513",
"telephone_number": "707-263-5183",
"fax_number": "707-263-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S MAIN ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535513",
"telephone_number": "707-263-5183",
"fax_number": "707-263-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLIN",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC12720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.