Individual provider Active NPI

Jody Marie Rotuna, DC

  • Chiropractor
  • Fullerton, CA
National Provider Identifier
1609925916
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27019 Issued in CA
Practice address
100 N State College Blvd Ste J
Fullerton, CA 92831-4236
Phone
(714) 366-7207
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27019 CA Primary

Addresses

Primary practice location

100 N State College Blvd Ste J
Fullerton, CA 92831-4236

Mailing address

100 N State College Blvd Ste J
Fullerton, CA 92831-4236
Phone (714) 366-7207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000741 CA Practitioner - Chiropractic 5698870608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N College Blvd
Suite J
Fullerton, CA 92831-4236
Phone (657) 500-8014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27019CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rotuna Chiropractic, Inc. Chiropractor CurrentSince Jan 6, 2025 Accepting new patients
Hanin Hawatmeh, D.C. a Professional Chiropractic Corporation Chiropractor PastSince Nov 28, 2018 Accepting new patients
Glenn S Cloud, DC Chiropractor Past Accepting new patients

Locations

100 N State College Blvd
Ste J
Fullerton, CA 92831
Phone (657) 500-8014

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1609925916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-366-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE J",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-366-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNA",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.