Individual provider Active NPI

Todorka Ivanova Vetrenski

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1336369792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
18583 Issued in CA
Practice address
272 Church Ave
Suite 1
Chula Vista, CA 91910-2718
Phone
(619) 420-7858
NPI assigned
Apr 26, 2007
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
Chiropractor 111N00000X 18583 CA Primary

Addresses

Primary practice location

272 Church Ave
Suite 1
Chula Vista, CA 91910-2718

Mailing address

1053 Sage VW
Chula Vista, CA 91910-6623
Phone (619) 656-5245

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336369792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SAGE VW",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106623",
            "telephone_number": "619-656-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CHURCH AVE",
            "address_2": "SUITE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102718",
            "telephone_number": "619-420-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETRENSKI",
        "first_name": "TODORKA",
        "middle_name": "IVANOVA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.