Individual provider Active NPI

Mark Jason Espiritu Bernardo, DC

  • Chiropractor
  • Rocklin, CA
National Provider Identifier
1144002676
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35202 Issued in CA
Practice address
3706 Atherton Rd Ste 110
Rocklin, CA 95765-3810
Phone
(916) 805-7996
Fax
(916) 259-1516
NPI assigned
Oct 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 35202 CA Primary

Addresses

Primary practice location

3706 Atherton Rd Ste 110
Rocklin, CA 95765-3810

Mailing address

1736 Cattail Dr
Marysville, CA 95901-8255
Phone (530) 844-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101003226 CA Practitioner - Chiropractic 8527591288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35202CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Jason Bernardo Chiropractic Corporation Chiropractor CurrentSince Sep 3, 2024 Accepting new patients

Locations

3706 Atherton Rd
Ste 110
Rocklin, CA 95765
Phone (916) 805-7996

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1144002676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 CATTAIL DR",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959018255",
            "telephone_number": "530-844-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 ATHERTON RD STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653810",
            "telephone_number": "916-805-7996",
            "fax_number": "916-259-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "MARK JASON",
        "middle_name": "ESPIRITU",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.