Organization Active NPI

Douglas L. Reich Chiropractic Wellness Center, Inc.

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1043338767
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13373 Issued in CA
Legal business name
DOUGLAS L. REICH CHIROPRACTIC WELLNESS CENTER, INC.
Practice address
338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647
Phone
(760) 736-0286
Fax
(760) 736-3113
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Douglas Lloyd Reich
Title
President
Phone
(760) 736-0286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 13373 CA Primary

Addresses

Primary practice location

338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647

Mailing address

338 Via Vera Cruz Ste 120
San Marcos, CA 92078-2647
Phone (760) 736-0286

Other identifiers 1

IdentifierTypeStateIssuer
CB261698MedicaidCA

National Provider Directory

National Provider Directory

Locations

730 Nordahl Rd
Ste 107
San Marcos, CA 92069
Phone (619) 746-9230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1043338767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782647",
            "telephone_number": "760-736-0286",
            "fax_number": "760-736-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 VIA VERA CRUZ STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782647",
            "telephone_number": "760-736-0286",
            "fax_number": "760-736-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. REICH CHIROPRACTIC WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-736-0286"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "13373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB261698",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.