Organization Active NPI

Dream Wellness PB

  • Sports Physician Chiropractor
  • San Diego, CA
National Provider Identifier
1396209904
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
DREAM WELLNESS PB
Doing business as
Dream Wellness PB
Practice address
1976 Garnet Ave
San Diego, CA 92109-3555
Phone
(858) 742-2258
NPI assigned
Jan 28, 2019
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Peter Seguinot
Title
Owner
Phone
(858) 274-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NU Primary

Addresses

Primary practice location

1976 Garnet Ave
San Diego, CA 92109-3555

Mailing address

1976 Garnet Ave
San Diego, CA 92109-3555
Phone (858) 742-2258

Other practice location 1

8772 Cuyamaca St Ste 105
Santee, CA 92071-4207
Phone (619) 449-0593

Other names 1

  • Dream Wellness PB Doing business as

National Provider Directory

National Provider Directory

Locations

8772 Cuyamaca St
Ste 105
Santee, CA 92071
Phone (619) 449-0593

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1396209904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093555",
            "telephone_number": "858-742-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093555",
            "telephone_number": "858-742-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8772 Cuyamaca St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714207",
            "country_code": "US",
            "telephone_number": "619-449-0593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DREAM WELLNESS PB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "SEGUINOT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-274-2225"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Wellness PB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dream Wellness PB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2019; 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.