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DR. LANCE JEFFREY FENTON D.C.
NPI 1104829662
Chiropractor in South Pasadena, CA

Active since May 27, 2005
1437 HUNTINGTON DR, SOUTH PASADENA, CA 91030(626) 403-0030(626) 403-0040 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lance Jeffrey Fenton D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LANCE JEFFREY FENTON D.C. (NPI 1104829662) is an individual chiropractor in South Pasadena, California, licensed in California (DC 27225) and active in the NPI registry since May 2005. He is a graduate of Cleveland Chiropractic College - Kansas City (2000).

NPPES Registry Identity

NPI1104829662
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LANCE JEFFREY FENTONCredential: D.C.
Location Address1437 HUNTINGTON DRSouth Pasadena, CA 91030-4512
Mailing Address1437 Huntington DrSouth Pasadena, CA 91030-4512 · (626) 403-0030 · Fax (626) 403-0040
Phone(626) 403-0030
Fax(626) 403-0040
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2000
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 13, 2009
✔ NPI 1104829662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC 27225
Definition
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.
1437 HUNTINGTON DR, South Pasadena, CA 91030
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedDC27225CA · Medicare Id Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lance Jeffrey Fenton D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860442662
PECOS Enrollment IDI20050128000939

Medicare Billing Reassignment

Medicare enrollment records show Lance Fenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goodlife Physical Medicine Corp
24 mi
General Practice
1300 S PACIFIC COAST HWY STE 201
Redondo Beach, CA 90277
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1891152781 (310) 543-7779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON QIUSHENG GENG OMD
Acupuncturist
1437 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 403-0030
ANHAYTE FENTON D.C.
Chiropractor
1437 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 403-0030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Fenton's NPI number?

The NPI number for Lance Fenton is 1104829662. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Lance Fenton located?

Lance Fenton practices at 1437 Huntington Dr, South Pasadena, CA 91030. The listed phone number is (626) 403-0030.

What is Lance Fenton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lance Fenton enrolled in Medicare?

Yes. Lance Fenton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lance Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Fenton reassigns Medicare benefits to Goodlife Physical Medicine Corp (Redondo Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lance Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lance Fenton was last updated on November 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.