Individual provider Active NPI

Judy F. Lane, D.C.

  • Nutrition Chiropractor
  • Woodland Hills, CA
National Provider Identifier
1225116338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC14679 Issued in CA
Practice address
22471 Sueno Rd
Woodland Hills, CA 91364-2900
Phone
(818) 222-5636
Fax
(818) 222-8853
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC14679 CA Primary

Addresses

Primary practice location

22471 Sueno Rd
Woodland Hills, CA 91364-2900

Mailing address

PO Box 8188
Calabasas, CA 91372-8188
Phone (818) 222-5636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000195 CA Practitioner - ChiropracticPractitioner - Preventive MedicinePractitioner - Family Practice 4284771668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice, Preventive Medicine
Education
Cleveland Chiropractic College - Los Angeles, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22471 Sueno Rd
Woodland Hills, CA 91364-2900
Phone (818) 222-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14679CAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Judy F Lane, D.C. Nutrition PastSince Feb 1, 2008 Accepting new patients

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225116338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728188",
            "telephone_number": "818-222-5636",
            "fax_number": "818-222-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22471 SUENO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642900",
            "telephone_number": "818-222-5636",
            "fax_number": "818-222-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JUDY",
        "middle_name": "F.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC14679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.