Individual provider Active NPI

Alfonso Rodriguez Juanengo, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1376672881
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28799 Issued in CA
Practice address
10877 Westonhill Dr
San Diego, CA 92126-2725
Phone
(858) 577-0558
Fax
(858) 577-0558
NPI assigned
Mar 2, 2007
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28799 CA Primary

Addresses

Primary practice location

10877 Westonhill Dr
San Diego, CA 92126-2725

Mailing address

10877 Westonhill Dr
San Diego, CA 92126-2725
Phone (858) 577-0558

Other identifiers 2

IdentifierTypeStateIssuer
RHC00161556OtherCACALIFORNIA DEPARTMENT OF PUBLIC HEALTH
DC28799OtherCACA BOARD OF CHIROPRACTIC EXAMINERS

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

Practice roles

OrganizationSpecialtyStatusNew patients
A. Rodriguez Juanengo Chiropractic Inc. Chiropractor Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1376672881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 WESTONHILL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262725",
            "telephone_number": "858-577-0558",
            "fax_number": "858-577-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 WESTONHILL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262725",
            "telephone_number": "858-577-0558",
            "fax_number": "858-577-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUANENGO",
        "first_name": "ALFONSO",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "RHC00161556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "DC28799",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.