Individual provider Active NPI

Peter Randolph Whiteley, D.C.

  • Chiropractor
  • Escondido, CA
National Provider Identifier
1417964883
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 25536 Issued in CA
Practice address
735 E Ohio Ave Ste 101
Escondido, CA 92025-3437
Phone
(760) 480-7555
Fax
(760) 520-7435
NPI assigned
Aug 1, 2006
Reactivated
Sep 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 25536 CA Primary

Addresses

Primary practice location

735 E Ohio Ave Ste 101
Escondido, CA 92025-3437

Mailing address

735 E Ohio Ave Ste 101
Escondido, CA 92025-3437
Phone (760) 480-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000354 CA Practitioner - Chiropractic 1557422391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 E Ohio Ave
Suite 101
Escondido, CA 92025-3437
Phone (760) 480-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 25536CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteley Chiropractic Center Inc Chiropractor CurrentSince Sep 10, 2009 Accepting new patients
Integrative Acupuncture Corp. Past Accepting new patients

Locations

1042 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 480-7555

735 E Ohio Ave
Ste 101
Escondido, CA 92025
Phone (760) 480-7555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1417964883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 E OHIO AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253437",
            "telephone_number": "760-480-7555",
            "fax_number": "760-520-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E OHIO AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253437",
            "telephone_number": "760-480-7555",
            "fax_number": "760-520-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "PETER",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "deactivation_date": "2012-07-11",
        "reactivation_date": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.

Verify at the official NPI Registry.