Individual provider Active NPI

Roberta I Rendon, D.C.

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1356538268
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25023 Issued in CA
Practice address
23545 Crenshaw Blvd Ste 104
Torrance, CA 90505-5250
Phone
(310) 534-0098
Fax
(310) 534-3008
NPI assigned
Sep 25, 2007
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25023 CA Primary
Nutrition Chiropractor 111NN1001X DC25023 CA

Addresses

Primary practice location

23545 Crenshaw Blvd Ste 104
Torrance, CA 90505-5250

Mailing address

23545 Crenshaw Blvd Ste 104
Torrance, CA 90505-5250
Phone (310) 534-0098

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1356538268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23545 CRENSHAW BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055250",
            "telephone_number": "310-534-0098",
            "fax_number": "310-534-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23545 CRENSHAW BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055250",
            "telephone_number": "310-534-0098",
            "fax_number": "310-534-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON",
        "first_name": "ROBERTA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25023",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC25023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.