Individual provider Active NPI

Rod S Vanbuskirk, D.C.

  • Chiropractor
  • Pleasant Hill, CA
National Provider Identifier
1396811642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 18987 Issued in CA
Practice address
710 Grayson Rd
Suite B
Pleasant Hill, CA 94523-2687
Phone
(925) 932-3289
Fax
(925) 932-1786
NPI assigned
Nov 28, 2006
Sex
Male
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 DC 18987 CA Primary

Addresses

Primary practice location

710 Grayson Rd
Suite B
Pleasant Hill, CA 94523-2687

Mailing address

710 Grayson Rd
Suite B
Pleasant Hill, CA 94523-2687
Phone (925) 932-3289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000340 CA Practitioner - Chiropractic 3577609163 Practice locations: Pleasant Hill, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2245 Morello Ave
Suite B
Pleasant Hill, CA 94523-1884
Phone (925) 932-3289

710 Grayson Rd
B
Pleasant Hill, CA 94523-2689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 18987CAMDChiropractor
18987CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396811642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-932-3289",
            "fax_number": "925-932-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-932-3289",
            "fax_number": "925-932-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUSKIRK",
        "first_name": "ROD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 18987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, 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.
  • 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.