Individual provider Active NPI

Jason Patrick Nummi, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1295062206
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34813 Issued in CA
Practice address
4747 Mission Blvd Ste 1
San Diego, CA 92109-2541
Phone
(858) 866-3345
Fax
(858) 866-3347
NPI assigned
Nov 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5263 MN
Chiropractor 111N00000X 34813 CA Primary

Addresses

Primary practice location

4747 Mission Blvd Ste 1
San Diego, CA 92109-2541

Mailing address

4747 Mission Blvd Ste 1
San Diego, CA 92109-2541
Phone (858) 866-3345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203002335 CA Practitioner - Chiropractic 6204361074 Practice locations: San Diego, CA

Care Compare profile

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

Practice addresses (Care Compare)

4747 Mission Blvd
Suite 1
San Diego, CA 92109-2541
Phone 8588663345101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5263MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nummi Chiropractic Inc Chiropractor Current Accepting new patients
Art of Health Chiropractor Past Accepting new patients
Curda Chiropractic Inc Past Accepting new patients

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1295062206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "858-866-3345",
            "fax_number": "858-866-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "858-866-3345",
            "fax_number": "858-866-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUMMI",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5263",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34813",
            "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 Oct 15, 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.