James H. Judevine, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC24435 Issued in CA

Practice address

1175 W Steele LN
Ste 4
Santa Rosa, CA 95403-3553

Phone

(707) 578-4156

Fax

(707) 578-0723

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Judevine Chiropractic & Rehabilitation Clinic Inc.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1477856938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1891790077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 W STEELE LN",
            "address_2": "STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033553",
            "telephone_number": "707-578-4156",
            "fax_number": "707-578-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 W STEELE LN",
            "address_2": "STE 4",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033553",
            "telephone_number": "707-578-4156",
            "fax_number": "707-578-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDEVINE",
        "first_name": "JAMES",
        "middle_name": "H.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO.",
            "identifier": "33-0725022",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC24435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JRS Brightpath Services Inc
• Teressa R. Ju, MD
• Jesus Alberto Juarez Castro
• Maria Guadalupe Juarez Sanchez, LCSW
• Judevine Chiropractic & Rehabilitation Clinic Inc.
• Leona Elizabeth Judson, NP
• Leslie Jue, DDS
• Julie C. Plante, MD, Inc.
• Jennifer Julius
• Je Hoon Jung

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.