Individual provider Active NPI

Robert Charles Jolin, D.C.

  • Chiropractor
  • Lakeport, CA
National Provider Identifier
1669696043
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12720 Issued in CA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120515000714 CA Practitioner - Chiropractic 7416110283 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12720CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Jolin DC a Chiropractic Corporation Chiropractor CurrentSince Jan 1, 1979 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.