Individual provider Active NPI

Michael Anthony Krufka Jr., DC

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1215514211
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36059 Issued in CA
Practice address
32701 Calle Perfecto
San Juan Capistrano, CA 92675-4779
Phone
(949) 481-1499
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36059 CA Primary

Addresses

Primary practice location

32701 Calle Perfecto
San Juan Capistrano, CA 92675-4779

Mailing address

38 Sunnydale LN
Rancho Santa Margarita, CA 92688-5569
Phone (949) 910-8053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC36059CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Sports Med Inc. Chiropractor CurrentSince Jun 15, 2021 Accepting new patients
Amp Sports Med Inc Chiropractor PastSince Mar 28, 2021 Accepting new patients

Locations

32701 Calle Perfecto
San Juan Capistrano, CA 92675
Phone (949) 481-1499

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1215514211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUNNYDALE LN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885569",
            "telephone_number": "949-910-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32701 CALLE PERFECTO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754779",
            "telephone_number": "949-481-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUFKA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.