Jeanna Lynn Abella-Desuyo, D.C.
Individual provider Active NPI Chiropractor · San Juan Capistrano, CA
NPI 1477075463 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1477075463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 33960 (CA)
- Practice address
- 30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675-1556 - Phone
- (949) 716-3930
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30270 Rancho Viejo Rd
Suite E
San Juan Capistrano, CA 92675-1556
Phone (949) 716-3930
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171030002686 | CA | Practitioner - Chiropractic | 3971879321 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abella-Desuyo Chiropractic | Chiropractor | Current |
Accepting new patients |
| Garcia Chiropractic Inc. | Chiropractor | Current |
Accepting new patients |
| Rockenmacher Chiropractic | Past |
Accepting new patients |
Locations
30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675
Phone (209) 559-4498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33960 | CA | Yes |
Addresses
Primary practice location
30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675-1556
Mailing address
30270 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675-1556
Phone (949) 716-3930
Other names
- Jeanna Lynn Abella
Other providers in San Juan Capistrano, CA
- A Better Life Recovery LLC
- A Better Life Recovery LLC
- A Better Life Recovery LLC
- A Better Life Recovery LLC
- Abella-Desuyo Chiropractic
- Krizza Abenoja
- Alexandra Abergel
- Able to Change Recovery, Inc.
- Ablw LLC
- Maria L.K Abramson
All providers in San Juan Capistrano, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.