NPIMap

Individual provider Active NPI

Nikolas George Capetanakis, D.O.

  • Obstetrics Physician
  • Encinitas, CA
National Provider Identifier
1184835860
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
20A9622 Issued in CA
Practice address
535 Encinitas Blvd
Suite 120
Encinitas, CA 92024-3742
Phone
(760) 634-2814
Fax
(760) 634-6785
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 20A9622 CA Primary

Addresses

Primary practice location

535 Encinitas Blvd
Suite 120
Encinitas, CA 92024-3742

Mailing address

535 Encinitas Blvd
Suite 120
Encinitas, CA 92024-3742
Phone (760) 634-2814

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ncapetanakis28411@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1184835860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 ENCINITAS BLVD",
            "address_2": "SUITE 120",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243742",
            "telephone_number": "760-634-2814",
            "fax_number": "760-634-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 ENCINITAS BLVD",
            "address_2": "SUITE 120",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243742",
            "telephone_number": "760-634-2814",
            "fax_number": "760-634-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPETANAKIS",
        "first_name": "NIKOLAS",
        "middle_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "20A9622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.