Tanya Dejkunchorn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36389 Issued in CA

Practice address

23505 Crenshaw Blvd Ste 205
Torrance, CA 90505-5288

Phone

(310) 909-6163

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bewell Collective

  • Chiropractor
  • Torrance, CA
  • NPI 1285890673
  Medicare reassignment Authorized official
• Birchwood Chiropractic Center, PLLC

  • Chiropractor
  • Fort Gratiot, MI
  • NPI 1649317967
  NPD (past)
• Lupo Chiropractic Life Center, P.C.

  • Chiropractor
  • Roseville, MI
  • NPI 1750428058
  NPD (past)
• Vesprini Chiropractic Life Center, PLLC

  • Chiropractor
  • Detroit, MI
  • NPI 1770736472
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1265560155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23505 CRENSHAW BLVD STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055288",
            "telephone_number": "310-909-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 CRENSHAW BLVD STE 205",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055288",
            "telephone_number": "310-909-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJKUNCHORN",
        "first_name": "TANYA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36389",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F323900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Margaret Hagins Defrance, B.A.
• Allison Marie Degraaf, MS, BCBA
• Thomas Deiss, DO
• Jessica Kay Dejaifre, MFT
• Bryn Dejardin, PHYSICAL THERAPIST
• Del Amo Dermatology a Medical Corp
• Del Amo Family Medical Group Inc
• Del Amo Gardens Convalescent Center, LLC (Del Amo Gardens Care Center)
• Del Amo Hospital, Inc (Del Amo Behavioral Health System)
• Del Amo Optometry a Professional Corporation

• Chiropractor in Torrance, CA
• Providers in Torrance, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.