Active NPI
Rosa Elena Vince, D.C.
- Chiropractor
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 18941
- Practice address
- 361 3Rd St
Suite D
San Rafael, CA 94901-3541 - Phone
- (415) 454-3717
- Fax
- (415) 454-4077
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 18941 | CA | Primary |
Addresses
Primary practice location
361 3Rd St
Suite D
San Rafael, CA 94901-3541
Mailing address
361 3Rd St
Suite D
San Rafael, CA 94901-3541
Phone (415) 454-3717
Other practice location 1
250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874
Phone (321) 241-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
361 3Rd St
Suite D
San Rafael, CA 94901-3580
Phone (415) 454-3717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18941 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine UC Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Elena Vince D C a Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Locations
361 3rd St
Ste D
San Rafael, CA 94901
Phone (415) 454-3717
250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937
Phone (321) 241-4801
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.
-
- Chiropractor
- San Rafael, CA
- NPI 1679836886
-
- Chiropractor
- Indian Harbour Beach, FL
- NPI 1093527129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1114084852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 3RD ST",
"address_2": "SUITE D",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013541",
"telephone_number": "415-454-3717",
"fax_number": "415-454-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 3RD ST",
"address_2": "SUITE D",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013541",
"telephone_number": "415-454-3717",
"fax_number": "415-454-4077"
}
],
"practiceLocations": [
{
"address_1": "250 E Eau Gallie Blvd",
"address_purpose": "LOCATION",
"city": "Indian Harbour Beach",
"state": "FL",
"postal_code": "329374874",
"country_code": "US",
"telephone_number": "321-241-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCE",
"first_name": "ROSA",
"middle_name": "ELENA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.