Organization Active NPI

McCarthy Chiropractic and Wellness Apc

  • Medical Specialty Clinic/Center
  • San Diego, CA
National Provider Identifier
1104528074
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Apr 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790379774OtherPROVIDER NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.