Individual provider Active NPI

Ryan Hulbert, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1134666209
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33730 Issued in CA
Practice address
8312 Lake Murray Blvd
Ste O
San Diego, CA 92119
Phone
(619) 464-8181
Fax
(619) 464-8332
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33730 CA Primary

Addresses

Primary practice location

8312 Lake Murray Blvd
Ste O
San Diego, CA 92119

Mailing address

8312 Lake Murray Blvd Ste O
San Diego, CA 92119-3435
Phone (619) 464-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018002137 CA Practitioner - Chiropractic 3779859756 Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8312 Lake Murray Blvd
Suite O
San Diego, CA 92119-3435
Phone (619) 464-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grossmont Hospital Corporation PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1134666209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD STE O",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193435",
            "telephone_number": "619-464-8181",
            "fax_number": "619-464-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 LAKE MURRAY BLVD",
            "address_2": "STE O",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92119",
            "telephone_number": "619-464-8181",
            "fax_number": "619-464-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33730",
            "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 Nov 15, 2024; 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.

Verify at the official NPI Registry.