Active NPI
Govenar Chiropractic a Professional Corporation
- Chiropractor
- San Diego, CA
National Provider Identifier
1306002613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27435
- Legal business name
- GOVENAR CHIROPRACTIC A PROFESSIONAL CORPORATION
- Practice address
- 5252 Balboa Ave
Suite 400
San Diego, CA 92117-6906 - Phone
- (858) 560-4460
- Fax
- (858) 560-4467
- NPI assigned
- Aug 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel K Govenar, DC
- Title
- President
- Phone
- (858) 560-4460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27435 | CA | Primary |
| Acupuncturist | 171100000X | AC7990 | CA |
Addresses
Primary practice location
5252 Balboa Ave
Suite 400
San Diego, CA 92117-6906
Mailing address
5252 Balboa Ave
Suite 400
San Diego, CA 92117-6906
Phone (858) 560-4460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1306002613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-560-4460",
"fax_number": "858-560-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-560-4460",
"fax_number": "858-560-4467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOVENAR CHIROPRACTIC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "GOVENAR",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-560-4460",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27435",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7990",
"primary": false
}
],
"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 24, 2022; 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.