Individual provider Active NPI

Robin Lee Roloff

  • Chiropractor
  • Lakewood, CA
National Provider Identifier
1932328358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19260 Issued in CA
Practice address
5150 Candlewood St
Suite 20
Lakewood, CA 90712-1925
Phone
(562) 804-6860
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC19260 CA Primary

Addresses

Primary practice location

5150 Candlewood St
Suite 20
Lakewood, CA 90712-1925

Mailing address

5150 Candlewood St
Suite 20
Lakewood, CA 90712-1925
Phone (562) 804-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC19260CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932328358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST",
            "address_2": "SUITE 20",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-804-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST",
            "address_2": "SUITE 20",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "562-804-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLOFF",
        "first_name": "ROBIN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.