Individual provider Active NPI

Jeffrey Robert Rockenmacher, D.C.

  • Chiropractor
  • Los Alamitos, CA
National Provider Identifier
1710042890
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16035 Issued in CA
Practice address
4152 Katella Ave Ste 102
Los Alamitos, CA 90720-6606
Phone
(562) 598-9609
Fax
(562) 799-1462
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC16035 CA Primary

Addresses

Primary practice location

4152 Katella Ave Ste 102
Los Alamitos, CA 90720-6606

Mailing address

4152 Katella Ave Ste 102
Los Alamitos, CA 90720-6606
Phone (562) 598-9609

Other identifiers 1

IdentifierTypeStateIssuer
DC16035OtherCACHIROPRACTIC LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000552 CA Practitioner - ChiropracticPractitioner - Sports Medicine 9436292240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Cleveland Chiropractic College - Los Angeles, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4152 Katella Ave
Suite 102
Los Alamitos, CA 90720-6606
Phone (562) 598-9609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16035CAMDChiropractor
16035CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockenmacher Chiropractic Chiropractor CurrentSince Jan 1, 2018 Accepting new patients
Rockenmacher Chiropractic PastSince Sep 24, 2017 Accepting new patients

Locations

4152 Katella Ave
Ste 102
Los Alamitos, CA 90720
Phone (562) 596-1019

Organizations & group practices 2

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1710042890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 KATELLA AVE STE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206606",
            "telephone_number": "562-598-9609",
            "fax_number": "562-799-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 KATELLA AVE STE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206606",
            "telephone_number": "562-598-9609",
            "fax_number": "562-799-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKENMACHER",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE #",
            "identifier": "DC16035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.