Marisa Carolina Boelk

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 29340 Issued in CA

Practice address

4060 Fairmount Ave
Chiropractic Department
San Diego, CA 92105

Phone

(619) 798-3947

Fax

(619) 269-1302

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marisa Carolina Contreras Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marissa.contreras.p1@direct.lamaestra.nextgenshare.com

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

• La Maestra Family Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1306929443
  Medicare reassignment NPD
• La Maestra Family Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • El Cajon, CA
  • NPI 1568209773
  NPD
• La Maestra Family Clinic, Inc.

  • Community Health Clinic/Center
  • Lemon Grove, CA
  • NPI 1891011599
  NPD
• Osteo Relief Institute Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1992093793
  NPD (past)
• Rabo Chiropractic

  • Chiropractor
  • San Diego, CA
  • NPI 1972752764
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1083733398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 MURPHY CANYON RD STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234348",
            "telephone_number": "619-298-0800",
            "fax_number": "619-298-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "address_2": "CHIROPRACTIC DEPARTMENT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92105",
            "telephone_number": "619-798-3947",
            "fax_number": "619-269-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5095 Murphy Canyon Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234348",
            "country_code": "US",
            "telephone_number": "619-298-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOELK",
        "first_name": "MARISA",
        "middle_name": "CAROLINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "SAT35706",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "CONTRERAS",
            "middle_name": "CAROLINA",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandra Boehmer
• Kristina Kingsbury Boeing, SRNA
• Abigail F Boek
• Debra Boeldt, PH.D.
• Cassidy James Boelk, D.C.
• Monica Boen, M.D.
• Nickolet Anna Boermans, O.D.
• Leigh Boerner, R.D., IBCLC
• Maria Sietse Boersma
• Meagan Boersma, MSW

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.