Active NPI
Michael Pritsker, D.C., Q.M.E.
- Chiropractor
- San Diego, CA
National Provider Identifier
1063506632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27281
- Practice address
- 3435 Camino del Rio South
Suite 108
San Diego, CA 92108 - Phone
- (619) 858-0336
- Fax
- (619) 858-0339
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27281 | CA | Primary |
Addresses
Primary practice location
3435 Camino del Rio South
Suite 108
San Diego, CA 92108
Mailing address
3435 Camino del Rio South
Suite 108
San Diego, CA 92108
Phone (619) 858-0336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27281 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063506632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-858-0336",
"fax_number": "619-858-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 CAMINO DEL RIO SOUTH",
"address_2": "SUITE 108",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-858-0336",
"fax_number": "619-858-0339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITSKER",
"first_name": "MICHAEL",
"credential": "D.C., Q.M.E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.