Organization Active NPI

Rubanenko Chiropractic Corp

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1174835474
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26485 Issued in CA
Legal business name
RUBANENKO CHIROPRACTIC CORP
Practice address
5440 Morehouse Dr Ste 1700
San Diego, CA 92121-6703
Phone
(858) 455-7654
Fax
(858) 455-5014
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Serena Rodarte
Title
Manager
Phone
(760) 414-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC26485 CA Primary

Addresses

Primary practice location

5440 Morehouse Dr Ste 1700
San Diego, CA 92121-6703

Mailing address

5440 Morehouse Dr Ste 1700
San Diego, CA 92121-6703
Phone (858) 455-7654

National Provider Directory

National Provider Directory

Locations

5440 Morehouse Dr
Ste 1700
San Diego, CA 92121
Phone (858) 455-7654

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1174835474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 1700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216703",
            "telephone_number": "858-455-7654",
            "fax_number": "858-455-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 MOREHOUSE DR STE 1700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216703",
            "telephone_number": "858-455-7654",
            "fax_number": "858-455-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBANENKO CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "RODARTE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-414-9700"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26485",
            "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 Jul 2, 2010; 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.