Individual provider Active NPI

Peter Seguinot, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1255532065
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CA29917 Issued in CA
Practice address
1707 Grand Ave
Suite #2
San Diego, CA 92109-4469
Phone
(858) 273-6700
NPI assigned
May 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA29917 CA Primary

Addresses

Primary practice location

1707 Grand Ave
Suite #2
San Diego, CA 92109-4469

Mailing address

1707 Grand Ave
Suite#2
San Diego, CA 92109-4469
Phone (858) 273-6700

Other identifiers 1

IdentifierTypeStateIssuer
EK418AOtherCAMEDICARE-PTAN

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

State licenses

LicenseStateTypeSpecialty
CA29917CAMDChiropractor
29917CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Force Health Chiropractic Inc Chiropractor Current Accepting new patients

Organizations & group practices 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1255532065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 GRAND AVE",
            "address_2": "SUITE#2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094469",
            "telephone_number": "858-273-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GRAND AVE",
            "address_2": "SUITE #2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094469",
            "telephone_number": "858-273-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUINOT",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "CA29917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "EK418A",
            "state": "CA"
        }
    ],
    "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 Jan 23, 2012; 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.