Individual provider Active NPI

Deborah Runyan-Vu, D.C.

  • Chiropractor
  • Chino, CA
National Provider Identifier
1669657003
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30684 Issued in CA
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

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30684OtherCASTATE 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

LicenseStateTypeSpecialty
DC30684CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body and Mind Chiropractic Inc Chiropractor CurrentSince Mar 7, 2021 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.

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.

Verify at the official NPI Registry.