Healthcare Provider Details

I. General information

NPI: 1669929345
Provider Name (Legal Business Name): JESSICA BARCHENGER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA BARRETO DC

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 S MILLIKEN AVE STE D
ONTARIO CA
91761-7850
US

IV. Provider business mailing address

402 S MILLIKEN AVE STE D
ONTARIO CA
91761-7850
US

V. Phone/Fax

Practice location:
  • Phone: 909-773-1976
  • Fax: 909-923-1509
Mailing address:
  • Phone: 909-773-1976
  • Fax: 909-923-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34325
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 1336
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: