Lance Jeffrey Fenton, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 27225 Issued in CA

Practice address

1437 Huntington Dr
South Pasadena, CA 91030-4512

Phone

(626) 403-0030

Fax

(626) 403-0040

NPI assigned

May 27, 2005

Last updated

Nov 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Goodlife Physical Medicine CorpGroup PAC ID 0446542922, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lance.fenton.1@22164.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goodlife Physical Medicine Corp

  • General Practice Physician
  • Redondo Beach, CA
  • NPI 1891152781
  Medicare reassignment Care Compare group NPD
• Goodlife Physical Medicine Corp

  • General Practice Physician
  • Torrance, CA
  • NPI 1275229692
  NPD

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1104829662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304512",
            "telephone_number": "626-403-0030",
            "fax_number": "626-403-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 HUNTINGTON DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304512",
            "telephone_number": "626-403-0030",
            "fax_number": "626-403-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "LANCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Louise Mary Felton
• Jia Feng
• Wei Feng, MD
• Kristina Lorraine Fenske-Vincent, OTR
• Anhayte Fenton, D.C.
• Gloria Maria Ferris I
• Jonathan Fidani
• Alejandro Flores
• Carlos Manuel Flores
• Christopher Floyd

• Chiropractor in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.