Kody Takeo Fudenna, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34109 Issued in CA

Practice address

30 E San Joaquin St Ste 106
Salinas, CA 93901-2946

Phone

(831) 320-3945

NPI assigned

Feb 16, 2018

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fudenna Apex Performance Chiropractic CorporationGroup PAC ID 2365821105, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fudenna Apex Performance Chiropractic Corporation

  • Chiropractor
  • Salinas, CA
  • NPI 1417601683
  Medicare reassignment Care Compare group NPD Authorized official
• Peninsula Rsi Chiropractic Wellness Center, Inc

  • Chiropractor
  • Redwood City, CA
  • NPI 1134779085
  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1902306947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E SAN JOAQUIN ST STE 106",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012946",
            "telephone_number": "831-320-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E SAN JOAQUIN ST STE 106",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012946",
            "telephone_number": "831-320-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDENNA",
        "first_name": "KODY",
        "middle_name": "TAKEO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-06-22",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Frerkson
• Jackie Lee Frey, LCSW
• Patricia Frick
• Daniel C Fridley
• Fudenna Apex Performance Chiropractic Corporation
• Alejandra Fuentes Reynoso, PPS
• Brenda Fuentes
• Brittany Marie Fuentes
• Alma Fuerte
• Yuji Joshua Fujioka, CPO

• Chiropractor in Salinas, CA
• Providers in Salinas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.