DR. JEFFREY T. GODUN D.C.
NPI 1386755106
Chiropractor in San Diego, CA

Active since August 31, 2006
12409 RANCHO BERNARDO RD, SAN DIEGO, CA 92128(858) 485-8220(858) 485-8222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jeffrey T. Godun D.c. NPPES

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

DR. JEFFREY T. GODUN D.C. (NPI 1386755106) is an individual chiropractor in San Diego, California, licensed in California (DC 26285) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1386755106
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFREY T. GODUNCredential: D.C.
Location Address12409 RANCHO BERNARDO RDSan Diego, CA 92128-2143
Mailing Address11349 Avenida De Los Lobos, Apt ESan Diego, CA 92127-5892 · (858) 485-8220 · Fax (858) 485-8222
Fax(858) 485-8222
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386755106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC 26285
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.
12409 RANCHO BERNARDO RD, San Diego, CA 92128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Chiropractor
16200 E AMBER VALLEY DRIVE
Whittier, CA 90604
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group

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 3

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

Chiropractor
12409 RANCHO BERNARDO RD
SAN DIEGO, CA 92128
Chiropractor
12409 RANCHO BERNARDO RD
SAN DIEGO, CA 92128
Chiropractor
12409 RANCHO BERNARDO RD
SAN DIEGO, CA 92128

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 Jeffrey Godun's NPI number?

The NPI number for Jeffrey Godun is 1386755106. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jeffrey Godun located?

Jeffrey Godun practices at 12409 Rancho Bernardo Rd, San Diego, CA 92128. The listed phone number is (858) 485-8220.

What is Jeffrey Godun's specialty?

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

Is Jeffrey Godun enrolled in Medicare?

Yes. Jeffrey Godun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Godun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Godun reassigns Medicare benefits to Southern California University Of Health Sciences (Whittier, 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 Jeffrey Godun'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 Jeffrey Godun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.