Active NPI
Fredrick Norman Renaud, DC
- Chiropractor
- Sanger, CA
National Provider Identifier
1508933326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 23687
- Practice address
- 2637 Jensen Ave
Suite C
Sanger, CA 93657-9799 - Phone
- (559) 875-4000
- Fax
- (559) 875-4978
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 23687 | CA | Primary |
Addresses
Primary practice location
2637 Jensen Ave
Suite C
Sanger, CA 93657-9799
Mailing address
2637 Jensen Ave
Suite C
Sanger, CA 93657-9799
Phone (559) 875-4000
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 |
|---|---|---|---|
| 23687 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1508933326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 JENSEN AVE",
"address_2": "SUITE C",
"city": "SANGER",
"state": "CA",
"postal_code": "936579799",
"telephone_number": "559-875-4000",
"fax_number": "559-875-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 JENSEN AVE",
"address_2": "SUITE C",
"city": "SANGER",
"state": "CA",
"postal_code": "936579799",
"telephone_number": "559-875-4000",
"fax_number": "559-875-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENAUD",
"first_name": "FREDRICK",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "23687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.