Individual provider Active NPI

John Maher, D.C.

  • Nutrition Chiropractor
  • Valley Center, CA
National Provider Identifier
1205991213
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
12754 Issued in CA
Practice address
28714 Valley Center Rd
Suite I
Valley Center, CA 92082-6554
Phone
(760) 500-6253
Fax
(760) 751-3559
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 12754 CA Primary

Addresses

Primary practice location

28714 Valley Center Rd
Suite I
Valley Center, CA 92082-6554

Mailing address

30523 Terrace View LN
Valley Center, CA 92082-5256
Phone (858) 342-1614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000137 CA Practitioner - Chiropractic 3870756356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28714 Valley Ctr Rd
Suite I
Valley Center, CA 92082-6512
Phone (760) 500-6253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John H Maher, Inc CurrentSince Dec 27, 2015 Accepting new patients
N8 Inc Past Accepting new patients

Locations

28714 Valley Center Rd
Valley Center, CA 92082
Phone (760) 638-4333

28714 Valley Center Rd
Ste I
Valley Center, CA 92082
Phone (760) 500-6253

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1205991213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30523 TERRACE VIEW LN",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825256",
            "telephone_number": "858-342-1614",
            "fax_number": "760-751-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28714 VALLEY CENTER RD",
            "address_2": "SUITE I",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826554",
            "telephone_number": "760-500-6253",
            "fax_number": "760-751-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "12754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.