Individual provider Active NPI

Christopher Visico, DC

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1346727906
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34262 Issued in CA
Practice address
5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711
Phone
(858) 453-0366
Fax
(858) 453-0370
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34262 CA Primary

Addresses

Primary practice location

5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711

Mailing address

5850 Oberlin Dr Ste 220
San Diego, CA 92121-4711
Phone (858) 453-0366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304002656 CA Practitioner - Chiropractic 7012256308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visico Chiropractic, Inc.Group PAC ID 6204175599, 2 clinicians

Practice addresses (Care Compare)

5230 Carroll Canyon Rd
Suite 204
San Diego, CA 92121-1780
Phone (858) 453-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jasdeep Henshaw, D.C. Chiropractor PastSince Jun 21, 2022 Accepting new patients
Greater Harmony Acupuncture & Herbal Medicine 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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1346727906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 OBERLIN DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214711",
            "telephone_number": "858-453-0366",
            "fax_number": "858-453-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 OBERLIN DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214711",
            "telephone_number": "858-453-0366",
            "fax_number": "858-453-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISICO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34262",
            "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 Jul 25, 2018; 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.