Charles Zollner, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC25398 Issued in CA

Practice address

4380 Redwood Hwy Ste B6
San Rafael, CA 94903-2110

Phone

(415) 747-8980

Fax

(415) 499-8645

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zollner Precision Chiropractic and Wellness Inc.

  • Chiropractor
  • San Rafael, CA
  • NPI 1538463708
  NPD (past) Authorized official
• Kakleas Chiropractic, Inc.

  • Physical Therapist
  • San Rafael, CA
  • NPI 1528227832
  NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1124031679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 REDWOOD HWY STE B6",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032110",
            "telephone_number": "415-747-8980",
            "fax_number": "415-499-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 REDWOOD HWY STE B6",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032110",
            "telephone_number": "415-747-8980",
            "fax_number": "415-499-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLNER",
        "first_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-02-12",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC25398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn C Zimmerman, LCSW
• Rufus Zingkhai
• Pamela Zizzo, MS CCC-SLP
• Jay Zlotnick, MSW, MFT
• Zollner Precision Chiropractic and Wellness Inc.
• Tara Zombres
• Miriam Zora
• Xinjie Zou
• Daniela Zuccarello, RN
• Francesca Zulueta

• Sports Physician Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.