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DR. DESIRAE MARIE AZUA DC
NPI 1861177016
Chiropractor in Lodi, CA

Active since June 15, 2023
2000 W KETTLEMAN LN STE 104, LODI, CA 95242(209) 334-6947(209) 334-6969 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Desirae Marie Azua Dc NPPES

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

DR. DESIRAE MARIE AZUA DC (NPI 1861177016) is an individual chiropractor in Lodi, California, licensed in California (36679) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1861177016
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DESIRAE MARIE AZUACredential: DC
Location Address2000 W KETTLEMAN LN STE 104Lodi, CA 95242-4334
Mailing Address2000 W Kettleman Ln Ste 104Lodi, CA 95242-4334 · (209) 334-6947 · Fax (209) 334-6969
Phone(209) 334-6947
Fax(209) 334-6969
Sole ProprietorNo
Enumeration DateJune 15, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1861177016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 36679
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.
2000 W KETTLEMAN LN STE 104, Lodi, CA 95242
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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
235 services39 patients

Other Providers at the Same Location NPPES 2

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

WILSON & ALLEN CHIROPRACTIC CORPORATION
Chiropractor
2000 W KETTLEMAN LN STE 104
LODI, CA 95242
San Joaquin County (209) 334-6947
MS. KRYSTAL SHERRI ALLEN D.C.
Chiropractor
2000 W KETTLEMAN LN STE 104
LODI, CA 95242
San Joaquin County (209) 334-6947

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 Desirae Azua's NPI number?

The NPI number for Desirae Azua is 1861177016. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Desirae Azua located?

Desirae Azua practices at 2000 W Kettleman Ln Ste 104, Lodi, CA 95242. The listed phone number is (209) 334-6947.

What is Desirae Azua's specialty?

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

When was this NPI record last updated?

The NPPES record for Desirae Azua was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.