Individual provider Active NPI

Jacques Rolan Tamoria Valenzuela

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1073312336
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37202 Issued in CA
Practice address
7330 Engineer Rd Ste C
San Diego, CA 92111-1434
Phone
(858) 987-1002
NPI assigned
Mar 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37202 CA Primary

Addresses

Primary practice location

7330 Engineer Rd Ste C
San Diego, CA 92111-1434

Mailing address

340 Quail PL
Chula Vista, CA 91911-5520

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
DC37202CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jepsen Chiropractic, P.C. Chiropractor CurrentSince Mar 20, 2025 Accepting new patients

Locations

7330 Engineer Rd
Ste C
San Diego, CA 92111
Phone (858) 987-1002

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1073312336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 QUAIL PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 ENGINEER RD STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111434",
            "telephone_number": "858-987-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "JACQUES ROLAN",
        "middle_name": "TAMORIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.