Active NPI
Steven Michael Haley, D.C.
- Chiropractor
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25697
- Practice address
- 4060 Fairmount Ave
San Diego, CA 92105-1608 - Phone
- (619) 798-3947
- Fax
- (619) 269-1302
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC25697 | CA | Primary |
Addresses
Primary practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Mailing address
3636 5TH Ave
Ste 300
San Diego, CA 92103-4230
Phone (619) 814-5500
Other practice location 1
3636 5TH Ave
Ste 300
San Diego, CA 92103-4230
Phone (619) 814-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC25697 | Other | CA | BOARD OF CHIROPRACTORS EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720000636 | CA | Practitioner - Chiropractic | 5890827232 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 Broadway
El Cajon, CA 92021-7416
Phone (619) 779-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25697 | CA | MD | Chiropractor |
| 25697 | CA | MD | Occupational Therapist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Rhodes Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Locations
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
217 Highland Ave
National City, CA 91950
Phone (619) 280-4213
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- steven.haley.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
CA
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1508949645
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
- Chiropractor
- El Cajon, CA
- NPI 1033454863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1083764484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 5TH AVE",
"address_2": "STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034230",
"telephone_number": "619-814-5500",
"fax_number": "619-794-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-798-3947",
"fax_number": "619-269-1302"
}
],
"practiceLocations": [
{
"address_1": "3636 5TH AVE",
"address_2": "STE 300",
"address_purpose": "LOCATION",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034230",
"country_code": "US",
"telephone_number": "619-814-5500",
"fax_number": "619-794-0260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALEY",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CHIROPRACTORS EXAMINERS",
"identifier": "DC25697",
"state": "CA"
}
],
"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 Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.