CUCAMONGA CHIROPRACTIC
NPI 1770858664
Chiropractor in Rancho Cucamonga, CA

Active since March 12, 2012
9211 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730(909) 980-4954(909) 980-2455 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cucamonga Chiropractic NPPES

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

CUCAMONGA CHIROPRACTIC (NPI 1770858664) is a healthcare organization registered as a chiropractor in Rancho Cucamonga, California and active in the NPI registry since March 2012. The organization lists John M. Blucker, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1770858664
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHN M. BLUCKER, A CHIROPRACTIC CORPORATION
Location Address9211 ARCHIBALD AVERancho Cucamonga, CA 91730-5207
Mailing Address9211 Archibald AveRancho Cucamonga, CA 91730-5207 · (909) 980-4954 · Fax (909) 980-2455
Fax(909) 980-2455
Organization SubpartNo
Authorized OfficialJohn M. BluckerDoctor Of Chiropractic · (909) 980-4954
Enumeration DateMarch 12, 2012
✔ NPI 1770858664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 13459
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.
9211 ARCHIBALD AVE, Rancho Cucamonga, CA 91730

Other Names 1

Doing Business AsCucamonga Chiropractic

Other Identifiers 1

Medicare UPINT05030CA

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)

Cucamonga Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20120405000014Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cucamonga Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1972620789
9211 ARCHIBALD AVE
Rancho Cucamonga, CA 91730
(909) 980-4954
✔ Accepts MedicareSame 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 John M. Blucker, A Chiropractic Corporation's NPI number?

The NPI number for John M. Blucker, A Chiropractic Corporation is 1770858664. It was assigned to this organization in the NPPES registry on March 12, 2012. The provider is doing business as Cucamonga Chiropractic.

Where is John M. Blucker, A Chiropractic Corporation located?

John M. Blucker, A Chiropractic Corporation is located at 9211 Archibald Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 980-4954.

What is John M. Blucker, A Chiropractic Corporation's specialty?

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

Is John M. Blucker, A Chiropractic Corporation enrolled in Medicare?

Yes. John M. Blucker, A Chiropractic Corporation is registered in the Medicare PECOS enrollment system.

When is John M. Blucker, A Chiropractic Corporation'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 January 31, 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 John M. Blucker, A Chiropractic Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to John M. Blucker, A Chiropractic Corporation. 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 John M. Blucker, A Chiropractic Corporation was last updated on March 12, 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.