Individual provider Active NPI

Johannes F Garrido, D.C.

  • Chiropractor
  • Tracy, CA
National Provider Identifier
1851521579
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30707 Issued in CA
Practice address
438 W Beverly PL
Suite 101
Tracy, CA 95376-3011
Phone
(209) 832-9221
Fax
(209) 832-9297
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30707 CA Primary

Addresses

Primary practice location

438 W Beverly PL
Suite 101
Tracy, CA 95376-3011

Mailing address

438 W Beverly PL Ste 101
Tracy, CA 95376-3011
Phone (209) 832-9221

Other practice location 1

1444 W Main St Ste D
Ripon, CA 95366-3030
Phone (209) 599-2699 ext. 4

Other practice location 2

130 N Grant Ave
Manteca, CA 95336-4601
Phone (209) 825-5610 ext. 3

Other practice location 3

583 Wicklund Crossing
Mt.House, CA 95391
Phone (209) 836-3597 ext. 2

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125001592 CA Practitioner - Chiropractic 1254613334 Reassigns benefits to 2 organizations
Practice locations: Tracy, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garrido, Russell and Coykendall Chiropractic Corporation 2 clinicians
Coykendall Chiropractic Inc 3 clinicians

Practice addresses (Care Compare)

130 N Grant Ave
Manteca, CA 95336-4601
Phone 20982556103

438 W Beverly PL
Tracy, CA 95376-3011
Phone (209) 832-9221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coykendall Chiropractic Inc Chiropractor CurrentSince Apr 24, 2025 Accepting new patients
Darwin Van Wyngarden a Professional Chiropractic Corporation Chiropractor PastSince Jul 18, 2010 Accepting new patients
Garrido, Russell & Coykendall Chiropractic Corporation Chiropractor Past Accepting new patients
Garrido Russell Chiropractic Corp Chiropractor PastSince Dec 24, 2023 Accepting new patients

Locations

130 N Grant Ave
Manteca, CA 95336
Phone (209) 825-5610

438 W Beverly Pl
Ste 101
Tracy, CA 95376
Phone (209) 832-9221

Organizations & group practices 4

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1851521579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 W BEVERLY PL STE 101",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763011",
            "telephone_number": "209-832-9221",
            "fax_number": "209-832-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W BEVERLY PL",
            "address_2": "SUITE 101",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763011",
            "telephone_number": "209-832-9221",
            "fax_number": "209-832-9297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1444 W Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "CA",
            "postal_code": "953663030",
            "country_code": "US",
            "telephone_number": "209-599-2699 x4",
            "fax_number": "209-599-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 N Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364601",
            "country_code": "US",
            "telephone_number": "209-825-5610 x3",
            "fax_number": "209-825-4028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "583 Wicklund Crossing",
            "address_purpose": "LOCATION",
            "city": "Mt.House",
            "state": "CA",
            "postal_code": "95391",
            "country_code": "US",
            "telephone_number": "209-836-3597 x2",
            "fax_number": "209-834-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "JOHANNES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.