CHARLES ZOLLNER D.C.
NPI 1124031679
Chiropractor - Sports Physician in San Rafael, CA

Q: What is Charles Zollner's NPI number?

The NPI number for Charles Zollner is 1124031679. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Charles Zollner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Charles Zollner was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 15, 2006

4380 REDWOOD HWY STE B6, SAN RAFAEL, CA 94903(415) 747-8980(415) 499-8645 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Charles Zollner D.c. NPPES

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

CHARLES ZOLLNER D.C. (NPI 1124031679) is an individual sports physician in San Rafael, California, licensed in California (DC25398) and active in the NPI registry since August 2006. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1124031679

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameCHARLES ZOLLNERCredential: D.C.

Location Address4380 REDWOOD HWY STE B6San Rafael, CA 94903-2110

Mailing Address4380 Redwood Hwy Ste B6San Rafael, CA 94903-2110 · (415) 747-8980 · Fax (415) 499-8645

Phone(415) 747-8980

Fax(415) 499-8645

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 15, 2006

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedJanuary 9, 2021

✔ NPI 1124031679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in CA · DC25398

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

4380 REDWOOD HWY STE B6, San Rafael, CA 94903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Zollner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335220128

PECOS Enrollment IDI20080117000804

Other Providers at the Same Location NPPES

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

DR. JON MARK KAKLEAS D.C., P.T.

Chiropractor

4380 REDWOOD HWY STE B6
SAN RAFAEL, CA 94903

Marin County (415) 499-8469

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 Charles Zollner's NPI number?

The NPI number for Charles Zollner is 1124031679. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Charles Zollner located?

Charles Zollner practices at 4380 Redwood Hwy Ste B6, San Rafael, CA 94903. The listed phone number is (415) 747-8980.

What is Charles Zollner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Charles Zollner enrolled in Medicare?

Yes. Charles Zollner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Zollner was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.