Meltvedt Chiropractic Professional Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MELTVEDT CHIROPRACTIC PROFESSIONAL CORP

Doing business as

Chiropractic Life Center

Practice address

740 Garden View CT Ste 206
Encinitas, CA 92024-2474

Phone

(760) 783-0105

Fax

(760) 783-0193

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Leo John Meltvedt, DCNPI 1801970611

Title

President

Phone

(760) 783-0105

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Life Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Leo John Meltvedt Jr., D.C.

  • Chiropractor
  • Encinitas, CA
  • NPI 1801970611
  Medicare reassignment NPD Authorized official
• Valerie Rose Vicent, D.C.

  • Chiropractor
  • Encinitas, CA
  • NPI 1851752067
  NPD

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1053945188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 GARDEN VIEW CT STE 206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242474",
            "telephone_number": "760-783-0105",
            "fax_number": "760-783-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 GARDEN VIEW CT STE 206",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242474",
            "telephone_number": "760-783-0105",
            "fax_number": "760-783-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTVEDT CHIROPRACTIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MELTVEDT",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-783-0105",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samir Mehrotra, MD
• Edward Meinardus, PHARM.D.
• Ryan Cameron Meineke, M.D.
• Maria Meinerding
• Susan Melnikow, CNM
• Leo John Meltvedt Jr., D.C.
• Jeanette Mendez, M.D.
• Sara Carly Mentlik, MA, LPCC
• Mentor on the Go LLC
• Meraki Management - Ca LLC

• Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.

Verify at the official NPI Registry.