Individual provider Active NPI

Javier Arroyo, D.C.

  • Chiropractor
  • Lakeport, CA
National Provider Identifier
1821183732
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25642 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 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 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

IdentifierTypeStateIssuer
DC25642OtherCACA LICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000425 CA Practitioner - Chiropractic 0941226252 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
25642CAMDSocial Worker
DC25642CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Aug 17, 2015 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Aug 17, 2015 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.

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.

Verify at the official NPI Registry.