Organization Active NPI

Rotuna Chiropractic, Inc.

  • Chiropractor
  • Fullerton, CA
National Provider Identifier
1013787688
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROTUNA CHIROPRACTIC, INC.
Practice address
100 N State College Blvd Ste J
Fullerton, CA 92831-4236
Phone
(657) 500-8014
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Jody Marie Rotuna, DCNPI 1609925916
Title
Chiropractor
Phone
(657) 500-8014

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

100 N State College Blvd Ste J
Fullerton, CA 92831-4236

Mailing address

100 N State College Blvd Ste J
Fullerton, CA 92831-4236
Phone (657) 500-8014

Other names 1

  • Rotuna Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225000855 CA Part B Supplier - Clinic/Group Practice 4880114529 Receives reassigned benefits from 1 practitioner
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

100 N State College Blvd
Ste J
Fullerton, CA 92831
Phone (657) 500-8014

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1013787688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "657-500-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "657-500-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTUNA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "ROTUNA",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "657-500-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rotuna Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.