Organization Active NPI

Gonstead Family Chiropractic

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1376098145
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC33549 Issued in CA
Legal business name
GONSTEAD FAMILY CHIROPRACTIC
Practice address
3202 Governor Dr Ste 200
San Diego, CA 92122-2940
Phone
(858) 997-8203
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Zachary Beatty, DC
Title
Owner/Chiropractor
Phone
(858) 997-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC33549 CA Primary

Addresses

Primary practice location

3202 Governor Dr Ste 200
San Diego, CA 92122-2940

Mailing address

3202 Governor Dr Ste 200
San Diego, CA 92122-2940

National Provider Directory

National Provider Directory

Locations

3202 Governor Dr
Ste 200
San Diego, CA 92122
Phone (858) 452-2202

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1376098145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 GOVERNOR DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 GOVERNOR DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222940",
            "telephone_number": "858-997-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "858-997-8203",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33549",
            "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, 2016; 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.