Organization Active NPI

Christopher N. Spellman, M.D., Inc.

  • Ophthalmology Physician
  • Carlsbad, CA
National Provider Identifier
1326354010
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A95995 Issued in CA
Legal business name
CHRISTOPHER N. SPELLMAN, M.D., INC.
Practice address
6221 Metropolitan St
Suite 200
Carlsbad, CA 92009-3096
Phone
(760) 633-3377
Fax
(760) 633-3370
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Christopher Nawn Spellman, M.D.NPI 1265484018
Title
President
Phone
(760) 799-3699

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A95995 CA Primary

Addresses

Primary practice location

6221 Metropolitan St
Suite 200
Carlsbad, CA 92009-3096

Mailing address

6221 Metropolitan St
Suite 200
Carlsbad, CA 92009-3096
Phone (760) 633-3377

Other identifiers 1

IdentifierTypeStateIssuer
02655498MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000272 CA Part B Supplier - Clinic/Group Practice 7618092347 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Locations

169 Saxony Rd
Ste 115
Encinitas, CA 92024
Phone (760) 633-3377

Practitioners & affiliated clinicians

Practitioners 2

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": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1326354010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "SUITE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-633-3377",
            "fax_number": "760-633-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "SUITE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-633-3377",
            "fax_number": "760-633-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER N. SPELLMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-799-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02655498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.

Verify at the official NPI Registry.