Active NPI
McCarthy Chiropractic and Wellness Apc
- Medical Specialty Clinic/Center
- San Diego, CA
National Provider Identifier
1104528074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- MCCARTHY CHIROPRACTIC AND WELLNESS APC
- Practice address
- 5350 Riley St
San Diego, CA 92110-2621 - Phone
- (708) 543-9681
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathryn Anne McCarthy, DC
- Title
- Owner/Chiropractor
- Phone
- (708) 543-9681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
5350 Riley St
San Diego, CA 92110-2621
Mailing address
840 17TH St Apt 326
San Diego, CA 92101-6668
Phone (708) 543-9681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790379774 | Other | PROVIDER NPI |
National Provider Directory
National Provider DirectoryLocations
5350 Riley St
San Diego, CA 92110
Phone (708) 543-9681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1104528074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 17TH ST APT 326",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016668",
"telephone_number": "708-543-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 RILEY ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102621",
"telephone_number": "708-543-9681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCARTHY CHIROPRACTIC AND WELLNESS APC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "708-543-9681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NPI",
"identifier": "1790379774",
"state": null
}
],
"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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.