Individual provider Active NPI

Keith Michael Hourihan, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1306916994
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29314 Issued in CA
Practice address
6755 Mira Mesa Blvd
Suite #140
San Diego, CA 92121-4392
Phone
(858) 457-1925
Fax
(858) 457-1927
NPI assigned
Nov 9, 2006
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29314 CA Primary

Addresses

Primary practice location

6755 Mira Mesa Blvd
Suite #140
San Diego, CA 92121-4392

Mailing address

6755 Mira Mesa Blvd
Suite #140
San Diego, CA 92121-4392
Phone (858) 457-1925

Other practice location 1

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 798-3947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000547 CA Practitioner - Chiropractic 0749193670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Maestra Family Clinic, Inc.Group PAC ID 7113968512, 13 clinicians

Practice addresses (Care Compare)

1032 Broadway
El Cajon, CA 92021-7416
Phone (619) 779-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29314CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic Inc CurrentSince Aug 3, 2020 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Dr Linda Oliver Chiropractic Inc Chiropractor PastSince Sep 7, 2004 Accepting new patients

Locations

1032 Broadway
El Cajon, CA 92021
Phone 6192804213 ext. 3176

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

217 Highland Ave
National City, CA 91950
Phone (619) 280-4213

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

Interoperability endpoints

  • Direct secure messaging: keith.hourihan.p1@direct.lamaestra.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1306916994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD",
            "address_2": "SUITE #140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214392",
            "telephone_number": "858-457-1925",
            "fax_number": "858-457-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 MIRA MESA BLVD",
            "address_2": "SUITE #140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214392",
            "telephone_number": "858-457-1925",
            "fax_number": "858-457-1927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051608",
            "country_code": "US",
            "telephone_number": "619-798-3947",
            "fax_number": "619-269-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOURIHAN",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29314",
            "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 13, 2022; 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.