Derick J Lajom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 24464 Issued in CA

Practice address

23750 Alessandro Blvd Ste I102
Moreno Valley, CA 92553-8815

Phone

(951) 697-0246

Fax

(951) 697-0176

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mendyk Chiropractic, Inc

  • Chiropractor
  • Perris, CA
  • NPI 1972622280
  Medicare reassignment NPD
• Mendyk Chiropractic, Inc

  • Chiropractor
  • Moreno Valley, CA
  • NPI 1346369667
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720135122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23750 ALESSANDRO BLVD STE I102",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538815",
            "telephone_number": "951-697-0246",
            "fax_number": "951-697-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23750 ALESSANDRO BLVD STE I102",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538815",
            "telephone_number": "951-697-0246",
            "fax_number": "951-697-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJOM",
        "first_name": "DERICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Renee Kyles
• E Kyu, DDS
• Tila Maria Laclette Perez
• Adam Lafleur
• Gussie Laguitan, RN
• Hong My Lam
• Vicky Thanh Lam
• Lamar Johnson Physical Therapy Services
• Kadence Lamb
• Alia Lambert

• Chiropractor in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Chiropractor in California

• 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.

Verify at the official NPI Registry.