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POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC
NPI 1578848701
Chiropractor in Fair Oaks, CA

Active since October 19, 2011
5150 SUNRISE BLVD, STE. F1, FAIR OAKS, CA 95628(916) 536-0400(916) 536-9039 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Potocki Family Chiropractic And Laser Center Inc NPPES

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

POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC (NPI 1578848701) is a healthcare organization registered as a chiropractor in Fair Oaks, California and active in the NPI registry since October 2011. The organization lists Thaddeus Joseph Potocki, Owner, as its authorized official.

NPPES Registry Identity

NPI1578848701
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePOTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC
Location Address5150 SUNRISE BLVD, STE. F1Fair Oaks, CA 95628-4939
Mailing Address5150 Sunrise Blvd., Ste. F1Fair Oaks, CA 95628-4939 · (916) 536-0400 · Fax (916) 536-9039
Phone(916) 536-0400
Fax(916) 536-9039
Organization SubpartNo
Authorized OfficialThaddeus Joseph PotockiOwner · (916) 536-0400
Enumeration DateOctober 19, 2011
Last NPPES UpdateSeptember 16, 2016
✔ NPI 1578848701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC020349
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.
5150 SUNRISE BLVD, Fair Oaks, CA 95628
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Other Identifiers 1

Medicare PINDC0203490CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potocki Family Chiropractic And Laser Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Potocki Family Chiropractic And Laser Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thaddeus Potocki, DC
Chiropractic
NPI 1154446417
5150 SUNRISE BLVD SUITE F1
Fair Oaks, CA 95628
(916) 536-0400
Same address

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

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 Potocki Family Chiropractic And Laser Center Inc's NPI number?

The NPI number for Potocki Family Chiropractic And Laser Center Inc is 1578848701. It was assigned to this organization in the NPPES registry on October 19, 2011.

Where is Potocki Family Chiropractic And Laser Center Inc located?

Potocki Family Chiropractic And Laser Center Inc is located at 5150 Sunrise Blvd Ste. F1, Fair Oaks, CA 95628. The listed phone number is (916) 536-0400.

What is Potocki Family Chiropractic And Laser Center Inc's specialty?

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

Is Potocki Family Chiropractic And Laser Center Inc enrolled in Medicare?

Yes. Potocki Family Chiropractic And Laser Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Potocki Family Chiropractic And Laser Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Potocki Family Chiropractic And Laser Center Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Potocki Family Chiropractic And Laser Center Inc was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.