POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC (NPI# 1578848701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578848701 |
| Entity Type | Organization |
| Organization Name | POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC |
| Practice Address |
5150 Sunrise Blvd Ste. F1 Fair Oaks CA 95628-4939 |
| Mailing Address |
5150 Sunrise Blvd. Ste. F1 Fair Oaks CA 95628-4939 |
| Practice Telephone | 9165360400 |
| Practice Fax Number | 9165369039 |
| Mailing Telephone | 9165360400 |
| Mailing Fax Number | 9165369039 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | DR. THADDEUS JOSEPH POTOCKI (OWNER) |
| Authorized Official Telephone | 9165360400 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC020349 | CA | Chiropractic Providers |
| Street Address |
5150 SUNRISE BLVD STE. F1 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699877654 | Rochelle Marie Pears | Social Worker | 5150 Sunrise Blvd, Suite G-5, Fair Oaks, CA 95628-4939 | 2006-09-01 |
| 1427590306 | Community Counseling Associates | Counselor | 5150 Sunrise Blvd, Suite H-1, Fair Oaks, CA 95628-4939 | 2016-11-09 |
| 1124496344 | Renee Harrell | Social Worker | 5150 Sunrise Blvd, Suite G5, Fair Oaks, CA 95628-4939 | 2015-09-03 |
| 1184858607 | Nate Hooper | Marriage & Family Therapist | 5150 Sunrise Blvd, H1, Fair Oaks, CA 95628-4939 | 2009-05-12 |
| 1770608556 | Kathleen A Messina | Social Worker | 5150 Sunrise Blvd, Suite E1, Fair Oaks, CA 95628-4939 | 2007-03-20 |
| 1154446417 | Thaddeus J Potocki | Chiropractor | 5150 Sunrise Blvd, Suite F1, Fair Oaks, CA 95628-4939 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619141280 | Perry Jay Carpenter | Chiropractor | 8552 Via Gwynn Way, Fair Oaks, CA 95628 | 2008-04-15 |
| 1902014269 | Marvin Paul Abbott | Chiropractor | 4902 Hazel Ave, Fair Oaks, CA 95628-6533 | 2007-05-18 |
| 1831302256 | Christopher D.h. Bambus | Chiropractor | 4737 Pennsylvania Ave, Fair Oaks, CA 95628-5817 | 2007-05-08 |
| 1891817490 | Robert A Simonson | Chiropractor | 8146 Greenback Ln Ste 108, Fair Oaks, CA 95628-2539 | 2007-04-04 |
| 1215060306 | James A. Senser | Chiropractor | 11622 Fair Oaks Blvd Ste 111, Fair Oaks, CA 95628-3750 | 2007-03-14 |
| 1790833077 | John Lubecki | Chiropractor | 7405 Winding Way, Lubecki Chiropractic, Fair Oaks, CA 95628 | 2007-01-05 |
| 1053476499 | Curtis A. Lehner | Chiropractor | 8910 Sunset Ave, Suite A, Fair Oaks, CA 95628-6591 | 2006-12-26 |
| 1386740181 | Mark William Lemay | Chiropractor | 8080 Madison Ave, 204a, Fair Oaks, CA 95628-3759 | 2006-09-16 |
| 1497864391 | Brett Alan Gottlieb | Chiropractor | 4401 Hazel Ave Ste 100, Fair Oaks, CA 95628-6695 | 2006-08-30 |
| 1548376064 | R. Michael Hamby | Chiropractor | 6716 Madison Avenue, Suite A1, Fair Oaks, AR 95628 | 2006-08-21 |
| Find all providers in FAIR OAKS | ||||
Please comment or provide details below to improve the information on POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.