Active NPI
Fix Medical Group PC
- Chiropractor
- San Diego, CA
National Provider Identifier
1174251300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FIX MEDICAL GROUP PC
- Practice address
- 5030 Camino de la Siesta Ste 404
San Diego, CA 92108-3120 - Phone
- (858) 248-5060
- Fax
- (619) 297-6901
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- 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
- Jesika Casey
- Title
- Case Manager
- Phone
- (858) 248-5060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
5030 Camino de la Siesta Ste 404
San Diego, CA 92108-3120
Mailing address
5030 Camino de la Siesta Ste 404
San Diego, CA 92108-3120
Phone (858) 248-5060
Other practice location 1
11717 Bernardo Plaza Ct Ste 102
San Diego, CA 92128-2419
Phone (619) 295-9791
Other names 1
- Rejuvenate Medical Group Inc
National Provider Directory
National Provider DirectoryLocations
11717 Bernardo Plaza Ct
Ste 102
San Diego, CA 92128
Phone (619) 295-9791
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Scottsdale, AZ
- NPI 1174654800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1174251300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 CAMINO DE LA SIESTA STE 404",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083120",
"telephone_number": "858-248-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 CAMINO DE LA SIESTA STE 404",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083120",
"telephone_number": "858-248-5060",
"fax_number": "619-297-6901"
}
],
"practiceLocations": [
{
"address_1": "11717 Bernardo Plaza Ct Ste 102",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921282419",
"country_code": "US",
"telephone_number": "619-295-9791",
"fax_number": "619-297-6901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FIX MEDICAL GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "JESIKA",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "858-248-5060"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rejuvenate Medical Group Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Diego, CA
- Tetiana Fiutek
- Five Element Care
- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at The Remington Club)
- Five Star Remington Club LLC (Remington Club Health Center)
- Fix Body Group
- James R Fix, PSY.D.
- Mary Fjerstad, NP
- Elise Suttner Flachman, DNP, FNP-C
- Cherl Sonali Flack, PTA
- Leonard Flagg, H.H.P., M.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.