Individual provider Active NPI

Paul Jonathan Marsh, D.C. , Q.M.E.

  • Sports Physician Chiropractor
  • San Diego, CA
National Provider Identifier
1073505236
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
25082 Issued in CA
Practice address
5005 Texas St
#301
San Diego, CA 92108-3721
Phone
(619) 299-1993
Fax
(619) 296-7647
NPI assigned
Aug 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 25082 CA
Sports Physician Chiropractor 111NS0005X 25082 CA Primary
Occupational Health Chiropractor 111NX0100X 25082 CA

Addresses

Primary practice location

5005 Texas St
#301
San Diego, CA 92108-3721

Mailing address

5005 Texas St
#301
San Diego, CA 92108-3721
Phone (619) 299-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000560 CA Practitioner - Chiropractic 4789673658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25082CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ortega Chiropractic, Inc. Chiropractor PastSince Jun 14, 2017 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073505236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST",
            "address_2": "#301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083721",
            "telephone_number": "619-299-1993",
            "fax_number": "619-296-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST",
            "address_2": "#301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083721",
            "telephone_number": "619-299-1993",
            "fax_number": "619-296-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "PAUL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C. , Q.M.E.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "25082",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "25082",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "25082",
            "primary": false
        }
    ],
    "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 13, 2026; 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.