Active NPI
Michael John Kastrup, D.C.
- Chiropractor
- Oceanside, CA
National Provider Identifier
1356306732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19661
- Practice address
- 4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821 - Phone
- (760) 726-1953
- Fax
- (760) 726-1953
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19661 | CA | Primary |
Addresses
Primary practice location
4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821
Mailing address
4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821
Phone (760) 726-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060523000187 | CA | Practitioner - Chiropractic | 7315958709 | Practice locations: Oceanside, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Oceanside Blvd
Suite C
Oceanside, CA 92056-5821
Phone (760) 726-1953
4055 Oceanside Blvd E
Oceanside, CA 92056-5821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19661 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Sports Medicine and Physical Therapy Corp | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Oceanside, CA
- NPI 1306394382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1356306732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 OCEANSIDE BLVD STE C",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565821",
"telephone_number": "760-726-1953",
"fax_number": "760-726-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 OCEANSIDE BLVD STE C",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565821",
"telephone_number": "760-726-1953",
"fax_number": "760-726-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTRUP",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
- Anahita Karimpour
- Christina Karlstromer
- Noelle Rose Karr
- Aine Emanuelle Karstetter, ASW
- Daniel Austin Kasperick
- Katelin Hanhart Licensed Clinical Social Worker PC
- Katherine Vance DDS Inc (Swish Modern Smiles)
- Katrina Harris Family Counseling (Collaborative Care Counseling)
- Paul Manuel Katsaros, RPT
- Rajee Kaur, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.