Organization Active NPI

Clarizio Chiropratic Inc

  • Rehabilitation Chiropractor
  • Arcadia, CA
National Provider Identifier
1851411086
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC25049 Issued in CA
Legal business name
CLARIZIO CHIROPRATIC INC
Practice address
638 W Duarte Rd
Suite 16
Arcadia, CA 91007-7616
Phone
(626) 447-0447
Fax
(626) 447-0324
NPI assigned
Mar 30, 2007
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Roberto Dominic Clarizio, D.C.
Title
Owner
Phone
(626) 447-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC25049 CA Primary

Addresses

Primary practice location

638 W Duarte Rd
Suite 16
Arcadia, CA 91007-7616

Mailing address

638 W Duarte Rd
Suite 16
Arcadia, CA 91007-7616
Phone (626) 447-0447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000677 CA Part B Supplier - Clinic/Group Practice 4789726316 Receives reassigned benefits from 2 practitioners
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1851411086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 16",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-447-0447",
            "fax_number": "626-447-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W DUARTE RD",
            "address_2": "SUITE 16",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077616",
            "telephone_number": "626-447-0447",
            "fax_number": "626-447-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIZIO CHIROPRATIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARIZIO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-447-0447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC25049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.