DR. LANCE JEFFREY FENTON (D.C.) – Chiropractor, NPI 1104829662

DR. LANCE JEFFREY FENTON (D.C.) is a healthcare provider. based in South pasadena, California. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC 27225 (CA). The NPI Number for DR. LANCE JEFFREY FENTON (D.C.) is 1104829662

Main info

Male
Sole Proprietor
26 Years Of Experience
Name
DR. LANCE JEFFREY FENTON (D.C.)
NPI
1104829662
Phone
(626) 403-0030
Address
1437 HUNTINGTON DR
Enumeration Date
27 May 2005
Last Update Date
13 November 2009

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
3105437779
Graduation Year
2000 (26 years ago)
PAC ID
2860442662
Group Practice PAC ID
0446542922
Professional Enrollment ID
I20050128000939
Address ID
CA902456507EL2218XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

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Provider Addresses for DR. LANCE JEFFREY FENTON (D.C.)

  • Huntington Drive, South Pasadena, Los Angeles County, California, 91030, United States

    SOUTH PASADENA, CA 910304512

    Phone: (626) 403-0030

    Fax: (626) 403-0040

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050128000939IChiropracticCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446542922View full group profile
NameSpecialtyState
C H I R O P R A C T I CCA
-CA
C H I R O P R A C T I CCA
C H I R O P R A C T I CGA
Anesthesiology, Pain ManagementCA
C H I R O P R A C T I CCA
Physical Therapist In Private PracticeCA
Physician AssistantCA
-CA
C H I R O P R A C T I CCA

Reviews

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Frequently asked questions

How do payers reference DR. LANCE JEFFREY FENTON (D.C.)?
For DR. LANCE JEFFREY FENTON (D.C.), use NPI 1104829662 as the unique 10-digit identifier.
Is DR. LANCE JEFFREY FENTON (D.C.) still an active registrant?
DR. LANCE JEFFREY FENTON (D.C.) carries an active NPI according to the public dataset.
What area of care is associated with DR. LANCE JEFFREY FENTON (D.C.)?
DR. LANCE JEFFREY FENTON (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. LANCE JEFFREY FENTON (D.C.) associated with South Pasadena?
Public fields place DR. LANCE JEFFREY FENTON (D.C.) around South Pasadena, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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