Active NPI
Nicholas G Desantis, DC
- Chiropractor
- La Mesa, CA
National Provider Identifier
1174861025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC19022
- Practice address
- 7760 University Ave
La Mesa, CA 91942-4902 - Phone
- (619) 466-2225
- Fax
- (619) 466-2226
- NPI assigned
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC19022 | CA | Primary |
Addresses
Primary practice location
7760 University Ave
La Mesa, CA 91942-4902
Mailing address
7760 University Ave
La Mesa, CA 91942-4902
Phone (619) 466-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC19022 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1174861025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 UNIVERSITY AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424902",
"telephone_number": "619-466-2225",
"fax_number": "619-466-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 UNIVERSITY AVE",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424902",
"telephone_number": "619-466-2225",
"fax_number": "619-466-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "NICHOLAS",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC19022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.