Individual provider Active NPI

Kristine Kay Brew, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1184863318
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31109 Issued in CA
Practice address
3110 Camino del Rio S Ste 310
San Diego, CA 92108-3832
Phone
(619) 299-9722
Fax
(858) 278-7055
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 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 DC31109 CA Primary

Addresses

Primary practice location

3110 Camino del Rio S Ste 310
San Diego, CA 92108-3832

Mailing address

3110 Camino del Rio S Ste 310
San Diego, CA 92108-3832
Phone (619) 299-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000407 CA Practitioner - Chiropractic 6305977802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 5TH Ave
Suite 230
San Diego, CA 92103-3137
Phone (619) 299-9722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31109CAMDChiropractor
31109CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brew Chiropractic, a Professional Corporation Chiropractor CurrentSince May 18, 2010 Accepting new patients
Gottlieb Chiropractic Inc Chiropractor PastSince Apr 18, 2010 Accepting new patients
H G Heeder Chiropractic Inc Past Accepting new patients

Locations

3900 5th Ave
Ste 230
San Diego, CA 92103
Phone (619) 299-9722

3110 Camino del Rio S
Ste 310
San Diego, CA 92108
Phone (619) 299-7222

Organizations & group practices 3

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1184863318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083832",
            "telephone_number": "619-299-9722",
            "fax_number": "858-278-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CAMINO DEL RIO S STE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083832",
            "telephone_number": "619-299-9722",
            "fax_number": "858-278-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREW",
        "first_name": "KRISTINE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31109",
            "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 Feb 4, 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.