Active NPI
Rolen Sunao Higashida III, D.C.
- Chiropractor
- Canoga Park, CA
National Provider Identifier
1710006499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15238
- Practice address
- 21127 Victory Blvd
Canoga Park, CA 91303-2828 - Phone
- (818) 704-7647
- Fax
- (818) 704-7649
- NPI assigned
- Mar 27, 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 | 15238 | CA | Primary |
Addresses
Primary practice location
21127 Victory Blvd
Canoga Park, CA 91303-2828
Mailing address
21127 Victory Blvd
Canoga Park, CA 91303-2828
Phone (818) 704-7647
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 |
|---|---|---|---|
| 15238 | CA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710006499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21127 VICTORY BLVD",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032828",
"telephone_number": "818-704-7647",
"fax_number": "818-704-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21127 VICTORY BLVD",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032828",
"telephone_number": "818-704-7647",
"fax_number": "818-704-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGASHIDA",
"first_name": "ROLEN",
"middle_name": "SUNAO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "15238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.