Individual provider Active NPI

Michael John Kastrup, D.C.

  • Chiropractor
  • Oceanside, CA
National Provider Identifier
1356306732
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
19661 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
19661CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Sports Medicine and Physical Therapy Corp PastSince Aug 14, 2022 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.

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

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.

Verify at the official NPI Registry.