Individual provider Active NPI

Keanna Byrnes, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1265304463
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36887 Issued in CA
Practice address
8885 Rio San Diego Dr Ste 357
San Diego, CA 92108-1652
Phone
(619) 293-3453
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 36887 CA Primary

Addresses

Primary practice location

8885 Rio San Diego Dr Ste 357
San Diego, CA 92108-1652

Mailing address

4464 Castelar St Apt 317
San Diego, CA 92107-1482
Phone (760) 681-9790

Other practice location 1

8889 Clairemont Mesa Blvd
Suite M
San Diego, CA 92123
Phone (858) 245-6049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504005360 CA Practitioner - Chiropractic 4385112887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4464 Castelar St Apt
Suite 317
San Diego, CA 92107-1482

8885 Rio San Diego Dr
Suite 357
San Diego, CA 92108-1687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36887CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Welsh Chiropractic Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Peak Performance Sports and Spine Single Specialty PastSince Sep 21, 2025 Accepting new patients

Locations

8885 Rio San Diego Dr
Ste 357
San Diego, CA 92108
Phone (619) 293-3453

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": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1265304463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 CASTELAR ST APT 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071482",
            "telephone_number": "760-681-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 RIO SAN DIEGO DR STE 357",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081652",
            "telephone_number": "619-293-3453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8889 Clairemont Mesa Blvd",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92123",
            "country_code": "US",
            "telephone_number": "858-245-6049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "KEANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36887",
            "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 Sep 18, 2025; 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.