Organization Active NPI

Pozhitsky Chiropractic Clinic Inc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1356352405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 28724 Issued in CA
Legal business name
POZHITSKY CHIROPRACTIC CLINIC INC.
Practice address
4764 Convoy St
Suite B
San Diego, CA 92111-1900
Phone
(858) 292-1555
Fax
(858) 292-1551
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alex Pozhitsky, D.C.
Title
President
Phone
(858) 292-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 28724 CA Primary

Addresses

Primary practice location

4764 Convoy St
Suite B
San Diego, CA 92111-1900

Mailing address

4764 Convoy St
Suite B
San Diego, CA 92111-1900
Phone (858) 292-1555

National Provider Directory

National Provider Directory

Locations

4764 Convoy St
Ste B
San Diego, CA 92111
Phone (858) 292-1555

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356352405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 CONVOY ST",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111900",
            "telephone_number": "858-292-1555",
            "fax_number": "858-292-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 CONVOY ST",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111900",
            "telephone_number": "858-292-1555",
            "fax_number": "858-292-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POZHITSKY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POZHITSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-292-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 28724",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.