Organization Active NPI

Nick K Nam Chiropractic Apc

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1104680099
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NICK K NAM CHIROPRACTIC APC
Practice address
7670 Opportunity Rd Ste 150
San Diego, CA 92111-2266
Phone
(858) 900-5467
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Nick Nam, CHIROPRACTORNPI 1225785173
Title
Ceo
Phone
(562) 267-9561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7670 Opportunity Rd Ste 150
San Diego, CA 92111-2266

Mailing address

7670 Opportunity Rd Ste 150
San Diego, CA 92111-2266
Phone (858) 900-5467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919001214 CA Part B Supplier - Clinic/Group Practice 3476094319 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

7807 Convoy Ct
Ste 105
San Diego, CA 92111

7670 Opportunity Rd
Ste 150
San Diego, CA 92111
Phone (858) 627-9220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1104680099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 OPPORTUNITY RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112266",
            "telephone_number": "858-900-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 OPPORTUNITY RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112266",
            "telephone_number": "858-900-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK K NAM CHIROPRACTIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-267-9561",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 5, 2025; 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.