Active NPI
Javier Arroyo, D.C.
- Chiropractor
- Lakeport, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25642
- Practice address
- 5335 Lakeshore Blvd
Lakeport, CA 95453-6123 - Phone
- (707) 263-7725
- Fax
- (707) 263-1096
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 12, 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 | DC25642 | CA | Primary |
Addresses
Primary practice location
5335 Lakeshore Blvd
Lakeport, CA 95453-6123
Mailing address
1877 Riggs CT
Lakeport, CA 95453-9785
Phone (707) 262-0466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC25642 | Other | CA | CA LICENSE # |
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
- Palmer College Chiropractic - West Sunnyvale, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Madrone St
Willits, CA 95490-4225
Phone (707) 459-6801
45 Hazel St
Willits, CA 95490-4222
Phone (707) 456-9600
925 Bevins CT
Lakeport, CA 95453-9754
Phone 70726383821204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25642 | CA | MD | Social Worker |
| DC25642 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Lake County Tribal Health Consortium, Inc. | Past | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Past | Accepting new patients |
Locations
5335 Lakeshore Blvd
Lakeport, CA 95453
Phone (707) 263-7725
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
- Federally Qualified Health Center (FQHC)
- Lakeport, CA
- NPI 1881697381
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Federally Qualified Health Center (FQHC)
- Clearlake, CA
- NPI 1285000810
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1811958952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1821183732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 RIGGS CT",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954539785",
"telephone_number": "707-262-0466",
"fax_number": "707-263-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 LAKESHORE BLVD",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536123",
"telephone_number": "707-263-7725",
"fax_number": "707-263-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROYO",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE #",
"identifier": "DC25642",
"state": "CA"
}
],
"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 Sep 12, 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.