Active NPI
Mark Mossuto, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1285790212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23070
- Practice address
- 7540 Metropolitan Dr
Suite 109
San Diego, CA 92108-4499 - Phone
- (619) 294-9342
- Fax
- (619) 294-9365
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23070 | CA | Primary |
Addresses
Primary practice location
7540 Metropolitan Dr
Suite 109
San Diego, CA 92108-4499
Mailing address
7540 Metropolitan Dr
Suite 109
San Diego, CA 92108-4499
Phone (619) 294-9342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23070 | CA | MD | Chiropractor |
| 23070 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mossuto Chiropractic Corporation | Chiropractor | Current | Accepting new patients |
Locations
7540 Metropolitan Dr
Ste 109
San Diego, CA 92108
Phone (619) 261-7415
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.
-
- Chiropractor
- San Diego, CA
- NPI 1962825588
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": "1203897600000",
"number": "1285790212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 METROPOLITAN DR",
"address_2": "SUITE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084499",
"telephone_number": "619-294-9342",
"fax_number": "619-294-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 METROPOLITAN DR",
"address_2": "SUITE 109",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084499",
"telephone_number": "619-294-9342",
"fax_number": "619-294-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSUTO",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23070",
"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 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.