Active NPI
Jeromy Dean Ratzlaff, D.C.
- Chiropractor
- Mission Viejo, CA
National Provider Identifier
1407055049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 29293
- Practice address
- 27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704 - Phone
- (949) 855-1887
- Fax
- (949) 855-3213
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 29293 | CA | Primary |
Addresses
Primary practice location
27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704
Mailing address
27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704
Phone (949) 855-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871712406 | Other | CA | NPI NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29293 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trojan Medical Center | Chiropractor | Current | Accepting new patients |
| Ratzlaff Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Stephen H Barkow MD Inc | Past | Accepting new patients |
Locations
26700 Towne Centre Dr
Ste 250
Foothill Ranch, CA 92610
Phone (949) 701-2516
27725 Santa Margarita Pkwy
Ste 120
Mission Viejo, CA 92691
Phone (949) 855-1887
Interoperability endpoints
- jeromy.ratzlaff.1@22164.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mission Viejo, CA
- NPI 1871712406
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Foothill Ranch, CA
- NPI 1265776744
Chiropractor
-
- Interventional Pain Medicine Physician
- Mission Viejo, CA
- NPI 1588824015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1407055049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27725 SANTA MARGARITA PKWY",
"address_2": "SUITE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916704",
"telephone_number": "949-855-1887",
"fax_number": "949-855-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27725 SANTA MARGARITA PKWY",
"address_2": "SUITE 120",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916704",
"telephone_number": "949-855-1887",
"fax_number": "949-855-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATZLAFF",
"first_name": "JEROMY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 29293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1871712406",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.