Justin Andrew Fotter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34043 Issued in CA

Practice address

403 Arguello Blvd
Live Fit Gym
San Francisco, CA 94118

Phone

(415) 682-4623

NPI assigned

Feb 13, 2018

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

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1952801359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCHOOL ST APT 4",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ARGUELLO BLVD",
            "address_2": "LIVE FIT GYM",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-682-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTTER",
        "first_name": "JUSTIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Lynnette Foster, NP
• Skky Foster
• Tammi Foster
• Tracy Foster
• Cedric Fotso Tagny
• Katie Fountain, PA-C
• Fountyn Acupuncture Inc
• Four-Fifty Sutter Pharmacy
• Yves Fournier, MA, MFT
• Ryan Fouts, MSW, ASW

• Chiropractor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.