Individual provider Active NPI

Kurt Francis Cagasan, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1295709160
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27316 Issued in CA
Practice address
302 Island Ave
Ste 103
San Diego, CA 92101
Phone
(619) 321-0093
Fax
(619) 321-0094
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27316 CA Primary

Addresses

Primary practice location

302 Island Ave
Ste 103
San Diego, CA 92101

Mailing address

500 3Rd Ave
San Diego, CA 92101-6805
Phone (619) 321-0093

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
DC27316CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brenton D. Wynn, MD Inc PastSince Oct 12, 2012 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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1295709160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016805",
            "telephone_number": "619-321-0093",
            "fax_number": "619-321-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 ISLAND AVE",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-321-0093",
            "fax_number": "619-321-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGASAN",
        "first_name": "KURT",
        "middle_name": "FRANCIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27316",
            "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 Jun 5, 2014; 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.