Organization Active NPI

Pommerenck Chiropractic Corporation

  • Chiropractor
  • Murrieta, CA
National Provider Identifier
1013722495
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POMMERENCK CHIROPRACTIC CORPORATION
Practice address
25095 Jefferson Ave Ste 203
Murrieta, CA 92562-9107
Phone
(951) 894-5006
Fax
(951) 698-8749
NPI assigned
Feb 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Dr. David Augie Pommerenck, DCNPI 1174546626
Title
President
Phone
(951) 894-5006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

25095 Jefferson Ave Ste 203
Murrieta, CA 92562-9107

Mailing address

25095 Jefferson Ave Ste 203
Murrieta, CA 92562-9107
Phone (951) 894-5006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519003497 CA Part B Supplier - Clinic/Group Practice 8921526393 Receives reassigned benefits from 1 practitioner
Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25095 Jefferson Ave
Ste 203
Murrieta, CA 92562
Phone (951) 894-5006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1013722495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25095 JEFFERSON AVE STE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629107",
            "telephone_number": "951-894-5006",
            "fax_number": "951-698-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25095 JEFFERSON AVE STE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629107",
            "telephone_number": "951-894-5006",
            "fax_number": "951-698-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMMERENCK CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "POMMERENCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AUGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-894-5006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.