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ELENA VINCE D C A CHIROPRACTIC CORP
NPI 1679836886
Chiropractor in San Rafael, CA

Active since June 21, 2012
361 3RD ST STE D, SAN RAFAEL, CA 94901(415) 454-3717 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elena Vince D C A Chiropractic Corp NPPES

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

ELENA VINCE D C A CHIROPRACTIC CORP (NPI 1679836886) is a healthcare organization registered as a chiropractor in San Rafael, California and active in the NPI registry since June 2012. The organization lists Elena Vince, President - Owner, as its authorized official.

NPPES Registry Identity

NPI1679836886
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELENA VINCE D C A CHIROPRACTIC CORP
Location Address361 3RD ST STE DSan Rafael, CA 94901-3580
Mailing Address361 3rd St Ste DSan Rafael, CA 94901-3580 · (415) 454-3717
Phone(415) 454-3717
Organization SubpartNo
Authorized OfficialElena VincePresident - Owner · (415) 454-3717
Enumeration DateJune 21, 2012
✔ NPI 1679836886 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 STE D, San Rafael, CA 94901
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Other Identifiers 1

OtherDC0189410CA · Medicare Ptan

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elena Vince D C A Chiropractic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120628000068Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elena Vince D C A Chiropractic Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Marlon Altan, DC
Chiropractic
NPI 1548071194
361 3RD ST STE D
San Rafael, CA 94901
(415) 454-3717
Same address
Rosa Vince, D.C.
Chiropractic
NPI 1114084852
361 3RD ST SUITE D
San Rafael, CA 94901
(415) 454-3717
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 Elena Vince D C A Chiropractic Corp's NPI number?

The NPI number for Elena Vince D C A Chiropractic Corp is 1679836886. It was assigned to this organization in the NPPES registry on June 21, 2012.

Where is Elena Vince D C A Chiropractic Corp located?

Elena Vince D C A Chiropractic Corp is located at 361 3rd St Ste D, San Rafael, CA 94901. The listed phone number is (415) 454-3717.

What is Elena Vince D C A Chiropractic Corp's specialty?

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

Is Elena Vince D C A Chiropractic Corp enrolled in Medicare?

Yes. Elena Vince D C A Chiropractic Corp is registered in the Medicare PECOS enrollment system.

When is Elena Vince D C A Chiropractic Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Elena Vince D C A Chiropractic Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Elena Vince D C A Chiropractic Corp. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elena Vince D C A Chiropractic Corp was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.