Individual provider Active NPI

Jennifer Nicole Vrzal, D.C.

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1619096138
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29017 Issued in CA
Practice address
2215 Torrance Blvd Ste a
Torrance, CA 90501-0508
Phone
(310) 533-6888
Fax
(310) 533-7130
NPI assigned
Mar 28, 2007
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 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 DC29017 CA Primary

Addresses

Primary practice location

2215 Torrance Blvd Ste a
Torrance, CA 90501-0508

Mailing address

2215 Torrance Blvd Ste a
Torrance, CA 90501-0508
Phone (310) 533-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000533 CA Practitioner - Chiropractic 8729242508 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2215 Torrance Blvd
Suite a
Torrance, CA 90501-0508
Phone (310) 533-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29017CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group PastSince Jan 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1619096138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 TORRANCE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905010508",
            "telephone_number": "310-533-6888",
            "fax_number": "310-533-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 TORRANCE BLVD STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905010508",
            "telephone_number": "310-533-6888",
            "fax_number": "310-533-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRZAL",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.