Jefferey Allan Rockwell, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC 31516 Issued in CA

Practice address

317 Potrero St Ste C
Santa Cruz, CA 95060-7611

Phone

(831) 425-9500

Fax

(888) 959-1186

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medxcare Health Professionals

  • Physical Medicine & Rehabilitation Physician
  • Santa Cruz, CA
  • NPI 1982177150
  NPD (past)
• Santa Cruz Core Fitness and Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Santa Cruz, CA
  • NPI 1942585153
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1740616523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 POTRERO ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607611",
            "telephone_number": "831-425-9500",
            "fax_number": "888-959-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 POTRERO ST STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607611",
            "telephone_number": "831-425-9500",
            "fax_number": "888-959-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "JEFFEREY",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC 31516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Rocha
• Diana Rocha
• Freddy Ivan Rocha
• Jessica Rocha, RADT
• Elise Michaela Rockey, LCSW
• Katheryne Rockwood, RN, BSN, IBCLC
• Marciel Rodarte
• Jeannine Marie Rodems, MD
• Sylvia Rodes, MFT
• Sigrid L. Rodoni, R.P.T.

• Rehabilitation Chiropractor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.