Payton Spencer Ely, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31235 Issued in CA

Practice address

9340 Clairemont Mesa Blvd
Suite E
San Diego, CA 92123-1224

Phone

(559) 289-7877

NPI assigned

Mar 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ely Family First Chiropractic, Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1821489006
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1174822274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4586 ROBBINS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223033",
            "telephone_number": "559-289-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 CLAIREMONT MESA BLVD",
            "address_2": "SUITE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231224",
            "telephone_number": "559-289-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "PAYTON",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elwell
• Ian Chaplin Elwood, MA, ATC, CES
• Ely Family First Chiropractic, Inc
• Rachel Elisabeth Ely-Konoske, CNM
• Isabelle Ely
• Jacey Elzey, RBT
• Emad Tadros MD a Professional Corporation
• Anahita A. Emamian, MD
• Erin Felicia Emanuel, PMHNP-BC
• Kristi Lee Emanuel, CMT

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.