Active NPI
Dale Michael Mauser, DC
- Chiropractor
- San Marcos, CA
National Provider Identifier
1366505497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17419
- Practice address
- 1146 San Marino Dr
San Marcos, CA 92078-4649 - Phone
- (760) 471-2033
- Fax
- (760) 471-2083
- NPI assigned
- Dec 19, 2006
- Last updated
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC17419 | CA | Primary |
Addresses
Primary practice location
1146 San Marino Dr
San Marcos, CA 92078-4649
Mailing address
1146 San Marino Dr
San Marcos, CA 92078-4649
Phone (760) 471-2033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1146 San Marino Dr
San Marcos, CA 92078-4649
Phone (760) 471-2033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17419 | CA | MD | Chiropractor |
| 17419 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Medical Center, Inc. | Chiropractor | Current | Accepting new patients |
Locations
1146 San Marino Dr
San Marcos, CA 92078
Phone (760) 420-8848
1146 San Marino Dr
Ste L
San Marcos, CA 92078
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1366505497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 SAN MARINO DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784649",
"telephone_number": "760-471-2033",
"fax_number": "760-471-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1146 SAN MARINO DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784649",
"telephone_number": "760-471-2033",
"fax_number": "760-471-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUSER",
"first_name": "DALE",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.