TIMOTHY D PETERSEN CHIROPRACTIC INC. NPI 1366722142

NPI Information

  • NPI: 1366722142
  • Provider Name: TIMOTHY D PETERSEN CHIROPRACTIC INC.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: STANFORD RANCH CHIROPRACTIC
  • Address: 2351 SUNSET BLVD STE 120
    ROCKLIN, CA
    ZIP 95765
  • Phone: (916) 624-2500

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NPI Details

TIMOTHY D PETERSEN CHIROPRACTIC INC. is a chiropractor in Rocklin, CA. The provider is 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. TIMOTHY D PETERSEN CHIROPRACTIC INC. NPI is 1366722142. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stanford Ranch Chiropractic.

The provider's business location address is:

2351 SUNSET BLVD STE 120
ROCKLIN, CA
ZIP 95765-341
Phone: (916) 624-2500
Fax: (916) 624-4196

The provider's authorized official is Timothy Dee Petersen .
The authorized official title is President and has the following contact phone number (916) 625-2500.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 8/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor21088CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11891853453OTHERCALIFORNIANPI NUMBER
2DC0210880OTHERCALIFORNIAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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