Individual provider Active NPI

Jeff Williams, D.C.

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1740508258
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31525 Issued in CA
Practice address
44820 10TH St W
Lancaster, CA 93534-2312
Phone
(661) 940-6302
Fax
(661) 940-6083
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31525 CA Primary

Addresses

Primary practice location

44820 10TH St W
Lancaster, CA 93534-2312

Mailing address

2220 E Route 66
Ste 225
Glendora, CA 91740-7602
Phone (626) 914-5881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000396 CA Practitioner - Chiropractic 0648441840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2220 E Route 66
Suite 225
Glendora, CA 91740-7602
Phone (626) 914-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Chiropractic Health and Wellness Center Inc Chiropractor CurrentSince Aug 2, 2011 Accepting new patients

Locations

230 N Glendora Ave
Glendora, CA 91741
Phone (626) 329-3755

2220 E Route 66
Ste 225
Glendora, CA 91740
Phone (626) 914-5881

44820 10th St W
Lancaster, CA 93534
Phone (661) 940-0773

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1740508258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E ROUTE 66",
            "address_2": "STE 225",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407602",
            "telephone_number": "626-914-5881",
            "fax_number": "626-914-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44820 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342312",
            "telephone_number": "661-940-6302",
            "fax_number": "661-940-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.