Organization Active NPI

Ratzlaff Chiropractic PC

Doing business as Saddleback Wellness Center

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1871712406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29293 Issued in CA
Legal business name
RATZLAFF CHIROPRACTIC PC
Doing business as
Saddleback Wellness Center
Practice address
27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704
Phone
(949) 855-1887
Fax
(949) 855-3213
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeromy Dean Ratzlaff, D.C.NPI 1407055049
Title
President
Phone
(949) 855-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 29293 CA Primary

Addresses

Primary practice location

27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704

Mailing address

27725 Santa Margarita Pkwy
Suite 120
Mission Viejo, CA 92691-6704
Phone (949) 855-1887

Other identifiers 3

IdentifierTypeStateIssuer
DC29293OtherCACHIROPRACTIC LICENSE #
ZZZ64690ZOtherCABLUE SHIELD ID
29293OtherCAWDC NUMBER

Other names 1

  • Saddleback Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

26700 Towne Centre Dr
Ste 250
Foothill Ranch, CA 92610
Phone (949) 701-2516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871712406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-855-1887",
            "fax_number": "949-855-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-855-1887",
            "fax_number": "949-855-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATZLAFF CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATZLAFF",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-855-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE #",
            "identifier": "DC29293",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "ZZZ64690Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDC NUMBER",
            "identifier": "29293",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddleback Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.