Individual provider Active NPI

Patricia Lotufo, D.C.

  • Chiropractor
  • La Jolla, CA
National Provider Identifier
1053484477
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29724 Issued in CA
Practice address
7520 Eads Ave
Suite 7
La Jolla, CA 92037-4807
Phone
(858) 454-2075
Fax
(858) 454-2075
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29724 CA Primary

Addresses

Primary practice location

7520 Eads Ave
Suite 7
La Jolla, CA 92037-4807

Mailing address

4339 Moraga Ave
San Diego, CA 92117-4503
Phone (858) 997-9084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110831000365 CA Practitioner - Chiropractic 2163692187 Reassigns benefits to 1 organization
Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7520 Eads Ave
Suite 7
La Jolla, CA 92037-4815
Phone (858) 454-2075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
29724CAMDClinical Social Worker
DC29724CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotufo Sisters LLC Chiropractor CurrentSince May 13, 2024 Accepting new patients
Health and Wellness Alternatives Inc Chiropractor Past Accepting new patients

Locations

7520 Eads Ave
Ste 7
La Jolla, CA 92037
Phone (858) 454-2075

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1053484477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 MORAGA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174503",
            "telephone_number": "858-997-9084",
            "fax_number": "858-454-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 EADS AVE",
            "address_2": "SUITE 7",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374807",
            "telephone_number": "858-454-2075",
            "fax_number": "858-454-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTUFO",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.