Active NPI
Jenna M Lemon, DC
- Chiropractor
- Pasadena, CA
National Provider Identifier
1043547490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30225
- Practice address
- 2623 E Foothill Blvd
105
Pasadena, CA 91107-3466 - Phone
- (626) 796-2639
- Fax
- (626) 796-2673
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30225 | CA | Primary |
Addresses
Primary practice location
2623 E Foothill Blvd
105
Pasadena, CA 91107-3466
Mailing address
2623 E Foothill Blvd
105
Pasadena, CA 91107-3466
Phone (626) 796-2639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30225 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hubka Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1043547490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 E FOOTHILL BLVD",
"address_2": "105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073466",
"telephone_number": "626-796-2639",
"fax_number": "626-796-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 E FOOTHILL BLVD",
"address_2": "105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073466",
"telephone_number": "626-796-2639",
"fax_number": "626-796-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON",
"first_name": "JENNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.