Active NPI
Mark Julian Rawlings, DC
- Chiropractor
- San Diego, CA
National Provider Identifier
1396756391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16823
- Practice address
- 2221 Camino del Rio South
Ste 309
San Diego, CA 92108 - Phone
- (619) 295-2225
- Fax
- (619) 295-2251
- NPI assigned
- Aug 11, 2006
- 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 | DC16823 | CA | Primary |
Addresses
Primary practice location
2221 Camino del Rio South
Ste 309
San Diego, CA 92108
Mailing address
2221 Camino del Rio South
Ste 309
San Diego, CA 92108
Phone (619) 295-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120206000162 | CA | Practitioner - Chiropractic | 7719144633 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2221 Camino del Rio S
San Diego, CA 92108-3611
Phone (619) 295-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC16823 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396756391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 CAMINO DEL RIO SOUTH",
"address_2": "STE 309",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-295-2225",
"fax_number": "619-295-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 CAMINO DEL RIO SOUTH",
"address_2": "STE 309",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-295-2225",
"fax_number": "619-295-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINGS",
"first_name": "MARK",
"middle_name": "JULIAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16823",
"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 Jul 8, 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.