Jason Dennis Rezansoff, D.C.
Individual provider Active NPI Chiropractor · Running Springs, CA
NPI 1700980976 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700980976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC27284 (CA)
- Practice address
- 31944 Hilltop Blvd
Running Springs, CA 92382-2671 - Phone
- (909) 867-5547
- Fax
- (909) 867-5487
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27284 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27284 | CA | Yes |
Addresses
Primary practice location
31944 Hilltop Blvd
Running Springs, CA 92382-2671
Mailing address
PO Box 2671
31944 Hilltop Blvd
Running Springs, CA 92382-2671
Phone (909) 867-5547
Other providers in Running Springs, CA
- Judy A Lees
- Geta Veronica Miclaus
- Roma Jean Nall
- Daniel Thomas Pekarcik
- Pine Ridge Treatment Centers, Inc.
- Judith Eileen Rossbach
- Running Springs Water District
- San Bernardino Mountains Community Hospital District
- Fillmore Lewis Smiley IV
- Claire St John
All providers in Running Springs, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.