Active NPI
Visico Chiropractic, Inc.
- Chiropractor
- San Diego, CA
National Provider Identifier
1043797608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34262
- Legal business name
- VISICO CHIROPRACTIC, INC.
- Practice address
- 5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711 - Phone
- (858) 453-0366
- Fax
- (858) 453-0370
- NPI assigned
- Jul 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Visico, DC
- Title
- President
- Phone
- (858) 453-0366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34262 | CA | Primary |
Addresses
Primary practice location
5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711
Mailing address
5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711
Phone (858) 453-0366
Other names 1
- Mira Mesa Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5230 Carroll Canyon Rd
Ste 204
San Diego, CA 92121
Phone (858) 453-0366
5850 Oberlin Dr
Ste 220
San Diego, CA 92121
Phone (858) 453-0366
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- San Diego, CA
- NPI 1346727906
-
- Chiropractor
- San Diego, CA
- NPI 1962253898
-
- Chiropractor
- San Diego, CA
- NPI 1518317932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1043797608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 OBERLIN DR STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214711",
"telephone_number": "858-453-0366",
"fax_number": "858-453-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5850 OBERLIN DR STE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214711",
"telephone_number": "858-453-0366",
"fax_number": "858-453-0370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISICO CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "VISICO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-453-0366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "34262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mira Mesa Chiropractic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mira Mesa Chiropractic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.