Healthcare Provider Details

I. General information

NPI: 1467150383
Provider Name (Legal Business Name): ZACHARY JOHN ACENCIO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 N MAIN ST
PORTERVILLE CA
93257-3711
US

IV. Provider business mailing address

83 N MAIN ST
PORTERVILLE CA
93257-3711
US

V. Phone/Fax

Practice location:
  • Phone: 559-781-3033
  • Fax:
Mailing address:
  • Phone: 559-781-3033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: