Denicio Gonzalez-Drake, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36438 Issued in CA

Practice address

409 Camino del Rio S Ste 105
San Diego, CA 92108-3505

Phone

(858) 434-5926

NPI assigned

Oct 5, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cook Upper Cervical Chiropractic, Apc

  • Clinic/Center
  • San Diego, CA
  • NPI 1164056792
  NPD
• Jessica Lee Chiropractic. Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1225385057
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1023733722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083505",
            "telephone_number": "858-434-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083505",
            "telephone_number": "858-434-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-DRAKE",
        "first_name": "DENICIO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gonzalez Sotelo
• Ivan Gonzalez Veano
• Suanly Gonzalez Gonzalez Vergel
• Gonzalez Zimmerman Capital Solutions Inc
• Cynthia Oriana Gonzalez-Comparan
• Lorena Gonzalez-Fabiny
• Carolina Gonzalez-Garcia, MFT
• Jose E Gonzalez-Ramos
• Estefani Maria Gonzalez-Summers
• Adriana Cruz Gonzalez, LCSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.