Individual provider Active NPI

Jeromy Dean Ratzlaff, D.C.

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1407055049
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29293 Issued in CA
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

Updated by the provider on Jul 13, 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 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

IdentifierTypeStateIssuer
1871712406OtherCANPI 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

LicenseStateTypeSpecialty
DC 29293CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Trojan Medical Center Chiropractor Current Accepting new patients
Ratzlaff Chiropractic PC Chiropractor CurrentSince Jan 24, 2005 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.