DR. ROSA ELENA VINCE D.C.
NPI 1114084852
Chiropractor in San Rafael, CA

Q: What is Rosa Vince's NPI number?

The NPI number for Rosa Vince is 1114084852. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Rosa Vince's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rosa Vince was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since January 02, 2007

361 3RD ST, SUITE D, SAN RAFAEL, CA 94901(415) 454-3717(415) 454-4077 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rosa Elena Vince D.c. NPPES

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

DR. ROSA ELENA VINCE D.C. (NPI 1114084852) is an individual chiropractor in San Rafael, California, licensed in California (18941) and active in the NPI registry since January 2007. She maintains a secondary practice location in Indian Harbour Beach and is a graduate of Palmer College Chiropractic - West Sunnyvale (1987).

NPPES Registry Identity

NPI1114084852

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. ROSA ELENA VINCECredential: D.C.

Location Address361 3RD ST, SUITE DSan Rafael, CA 94901-3541

Mailing Address361 3rd St, Suite DSan Rafael, CA 94901-3541 · (415) 454-3717 · Fax (415) 454-4077

Phone(415) 454-3717

Fax(415) 454-4077

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1987

Enumeration DateJanuary 2, 2007

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1114084852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · 18941

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.

361 3RD ST, San Rafael, CA 94901

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Secondary Practice Location 1

Location 1250 E Eau Gallie BlvdIndian Harbour Beach, FL 32937-4874 · Phone (321) 241-4801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rosa Elena Vince D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062677826

PECOS Enrollment IDI20120628000126

Medicare Billing Reassignments

Medicare enrollment records show Rosa Vince reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elena Vince D C A Chiropractic Corp

Same address

Chiropractor

361 3RD ST STE D
San Rafael, CA 94901

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1679836886 (415) 454-3717

Divine Uc Chiropractic, PLLC

2,503 mi

Chiropractor

250 E EAU GALLIE BLVD
Indian Harbour Beach, FL 32937

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1093527129 (321) 241-4801

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

807 services62 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

62 services23 patients

Other Providers at the Same Location NPPES 8

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

GWEN OMALLEY RN

Registered Nurse (Women's Health Care, Ambulatory)

361 3RD ST, SUITE E
SAN RAFAEL, CA 94901

Marin County (415) 507-4030

JENNY SORIANO MD

Obstetrics & Gynecology

361 3RD ST, SUITE E
SAN RAFAEL, CA 94901

Marin County (415) 499-4030

SHAWNA ELIZABETH DOBSON MA LPCC

Counselor (Mental Health)

361 3RD ST, SUITE G
SAN RAFAEL, CA 94901

Marin County (415) 258-4944

LEAH HENDERSON MFT

Marriage & Family Therapist

361 3RD ST
SAN RAFAEL, CA 94901

Marin County (800) 735-2929

DANA CHERRY

Marriage & Family Therapist

361 3RD ST, SUITE G
SAN RAFAEL, CA 94901

Marin County (415) 258-4944

BAY AREA COMMUNITY RESOURCES, INC.

Community/Behavioral Health

361 3RD ST, SUITE G
SAN RAFAEL, CA 94901

Marin County (415) 258-4944

CYNTHIA LYNN VERGARA M.S., MFT

Marriage & Family Therapist

361 3RD ST, SUITE G
SAN RAFAEL, CA 94901

Marin County (415) 258-4944

BARBARA JEAN STOWE RN

Registered Nurse (Women's Health Care, Ambulatory)

361 3RD ST, SUITE E
SAN RAFAEL, CA 94901

Marin County (415) 499-4030

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 Rosa Vince's NPI number?

The NPI number for Rosa Vince is 1114084852. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Rosa Vince located?

Rosa Vince practices at 361 3rd St Suite D, San Rafael, CA 94901. The listed phone number is (415) 454-3717.

What is Rosa Vince's specialty?

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

Is Rosa Vince enrolled in Medicare?

Yes. Rosa Vince is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rosa Vince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosa Vince reassigns Medicare benefits to 2 organizations: Elena Vince D C A Chiropractic Corp (San Rafael, CA) and Divine Uc Chiropractic, PLLC (Indian Harbour Beach, FL). Each 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 Rosa Vince'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 Rosa Vince was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.