Active NPI
Deborah Runyan-Vu, D.C.
- Chiropractor
- Chino, CA
National Provider Identifier
1669657003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30684
- Practice address
- 12932 10TH St
Chino, CA 91710-4220 - Phone
- (909) 591-1300
- Fax
- (909) 591-1377
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 | DC30684 | CA | Primary |
Addresses
Primary practice location
12932 10TH St
Chino, CA 91710-4220
Mailing address
12932 10TH St
Chino, CA 91710-4220
Phone (909) 591-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30684 | Other | CA | STATE LICENSE # |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30684 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body and Mind Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
3833 Schaefer Ave
Ste E
Chino, CA 91710
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 and National Provider Directory roles.
-
- Chiropractor
- Chino, CA
- NPI 1780860403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1669657003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12932 10TH ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917104220",
"telephone_number": "909-591-1300",
"fax_number": "909-591-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12932 10TH ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917104220",
"telephone_number": "909-591-1300",
"fax_number": "909-591-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYAN-VU",
"first_name": "DEBORAH",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "30684",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.