Robert J Redmon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14206 Issued in CA

Practice address

3019 Polk Ave
San Diego, CA 92104-2609

Phone

(619) 284-3321

Fax

(619) 280-9070

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1326018698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 AERO DR STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231744",
            "telephone_number": "619-284-3321",
            "fax_number": "858-715-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 POLK AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042609",
            "telephone_number": "619-284-3321",
            "fax_number": "619-280-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0142060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Reden
• Charles H Redfern, M.D.
• Alice Redhead
• Stephen Robert Reding
• Brooke Hallie Redman, OTR
• Courtney Lynne Redmond
• Jonas W Redmond, MD
• Stacey Redmond, COTA
• Charlene K Redner, MFT INTERN
• Vladimir Rednikov, LCSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.